Prospective, Randomized, Phase II Trial of Modified Short-Course Radiotherapy Plus CAPOX and Tislelizumab Versus Long-Course Chemoradiotherapy Plus Tislelizumab for Locally Advanced Rectal Cancer

To explore the complete response (CR) rate of modified short-course radiotherapy plus CAPOX and Tislelizumab versus Long-course Chemoradiotherapy plus Tislelizumab for locally advanced rectal cancer.

开始日期2026-08-10

申办/合作机构

福建省肿瘤医院（福建省肿瘤研究所、福建省癌症防治中心、福建省生物医学与肿瘤转化研究中心）

NCT07494448

/ Not yet recruiting临床1/2期

PHASE IB/II STUDY TO EVALUATE SAFETY AND PRELIMINARY EFFICACY OF ZANIDATAMAB IN COMBINATION WITH TUCATINIB AND CHEMOTHERAPY (CAPECITABINE OR ERIBULIN MESYLATE) IN HER2-POSITIVE ADVANCED BREAST CANCER

The JAZMINE study is a multicenter, open-label, non-comparative, phase Ib/II clinical trial to evaluate safety and preliminary efficacy of zanidatamab in combination with tucatinib and chemotherapy (capecitabine or eribulin mesylate) in HER2-positive advanced breast cancer.

开始日期2026-07-01

申办/合作机构

Medica Scientia Innovation Research SL

CTIS2025-523460-21-00

/ Not yet recruiting临床2期IIT

A multicenter, multicohort, phase 2 platform trial to personalize second-line treatment intensity and targeting in HR-positive, HER2-negative metastatic breast cancer through an integrated liquid biopsy algorithm.

开始日期2026-06-01

申办/合作机构-

100 项与卡培他滨相关的临床结果

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100 项与卡培他滨相关的转化医学

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100 项与卡培他滨相关的专利（医药）

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11,120

项与卡培他滨相关的文献（医药）

2026-12-31·Gut Microbes

Exploring the gut microbiome and metabolomic interactions of antimetabolite drugs to optimize therapy

Review

作者: Zhao, Libo ; Chen, Jingyang ; Wang, Yanan ; Li, Xiaona ; Xu, Lei

Antimetabolite drugs are cornerstones in treating various cancers and autoimmune diseases; however, their clinical utility is often hampered by systemic toxicity caused by drug-induced gut microbiota dysbiosis. Predicting patient responses remains a significant challenge. Several studies have highlighted the influence of gut microbiota on antimetabolite treatment outcomes, revealing complex bidirectional interactions between the drugs and microbial communities. This review synthesizes the effects of common antimetabolites (including 5-fluorouracil, methotrexate, gemcitabine, capecitabine, 6-mercaptopurine, and thioguanine) on gut microbial communities and outlines a framework (pharmacokinetics, endogenous metabolite production, immune modulation, and apoptotic pathway modulation) for assessing chemotherapy-microbiota interactions. Additionally, potential microbial biomarkers for predicting treatment responses and strategies for manipulating the gut microbiota to enhance therapeutic efficacy are discussed. Therefore, advances in methodologies such as metagenomics and real-time microbial monitoring will be essential for unraveling these interactions and promoting the precise application of antimetabolite drugs.

2026-05-01·Clinical and Translational Radiation Oncology

Late toxicity after peposertib-enhanced chemoradiation in rectal cancer patients managed with organ preservation

Article

作者: Saltz, L B ; Garcia-Aguilar, J ; Weiser, M R ; Paty, P B ; Romesser, P B ; Cuaron, J J ; Li, C ; Yaeger, R ; Crane, C H ; Pappou, E ; Wu, A ; Reyngold, M ; Cercek, A ; Wei, I H ; Nash, G M ; Smith, J J ; O'Brien, D Roth ; Ravella, R ; Williams, V M ; Zinovoy, M ; Rao, D ; Zambare, W

Background and purpose:

Combining peposertib, a DNA-PK inhibitor, with capecitabine-based chemoradiation may improve tumor response and organ preservation in rectal cancer. We assessed how adding peposertib to chemoradiation impacts organ preservation-specific outcomes and toxicities.

Materials and methods:

In a recent phase Ib trial, rectal cancer patients underwent neoadjuvant capecitabine-based chemoradiation with peposertib. Patients were then restaged: those with clinical complete responses (cCRs) were offered "watch-and-wait" (WW), while those with non-cCRs (near complete and incomplete responses) were recommended surgery, although most opted for consolidation chemotherapy. Six patients were selected for this post-hoc analysis with primary endpoints of organ preservation rate, tumor response rates, and characterization of late grade 3 + toxicities.

Results:

Tumor response rates showed 50 % of patients (3/6) achieved cCR and entered WW. Additionally, the frequency of late grade 3 + toxicity was 50 % (3/6). Late grade 3 + toxicity was exclusively observed in patients with cCR entering WW, and all toxicities were specific to the rectum (severe proctitis and bowel fistulization). In contrast, no late grade 3 + toxicities were seen when disease was managed by oncologic surgical resection. Finally, while overall three-year organ preservation rate was 60 % (3/5), patients with organ preservation also had increased rates of late grade 3 + rectal toxicities (66 %, 2/3).

Conclusion:

Combining peposertib with capecitabine-based chemoradiation was associated with disproportionately high risks of severe late rectal toxicities, particularly in patients entering WW. Thus, careful assessment of the toxicity and response profiles of novel neoadjuvant regimens is critically important in future clinical trials focused on organ preservation and the nonoperative management of rectal cancer.

2026-04-01·Photodiagnosis and Photodynamic Therapy

Photodynamic therapy combined with radiofrequency ablation and systemic therapy for KRAS-mutant advanced low rectal cancer: A case report

Article

作者: Chen, Hao ; Li, Yifan ; Li, Yali ; Liu, Jing ; Liao, Lingzhi ; Qi, Yile ; Ma, Jingwei ; Ma, Jiahui

The overall incidence of colorectal cancer, particularly the lower part of the rectum normally known as low rectal cancer, is globally on the rise, accounting for approximately 10% of all new oncology cases. KRAS, a common oncogenic mutant gene, has a mutation frequency of up to 40% in colorectal cancer and significantly impacts its prognosis and therapeutic outcomes. Anatomically, low rectal cancer usually develops in a deep and narrow pelvic space, adjacent to critical nerves and organs, posing significant challenges for radical resection. A 52-year-old female presented with an extremely low-lying locally advanced rectal cancer or tumor exhibiting high-risk features with an intravascular tumor thrombus and high proliferative activity. This patient initially underwent an endoscopic photodynamic therapy combined with "oxaliplatin + capecitabine" chemotherapy, bevacizumab, and sintilimab monotherapy, resulting in some significant tumor shrinkage and decrease in volume. Subsequent sequential therapeutic strategies included radiofrequency ablation, second-line chemotherapy combined with bevacizumab, and sintilimab. Following 15 months of intensive neoadjuvant conversion therapy, the tumor continued to decrease in size, ultimately enabling successful radical abdominoperineal resection with rectal resection. This case demonstrates a remarkable successful application of a novel treatment strategy combining photodynamic therapy with radiofrequency ablation for local treatment alongside systemic therapy to give room to surgical opportunities for patients with locally advanced ultra-low rectal cancer.

1,969

项与卡培他滨相关的新闻（医药）

2026-04-02

·ioncology

从认知到实践：HER2乳腺癌治疗的演进、突破与未来破局

编者按：乳腺癌是全球女性发病率最高的恶性肿瘤，HER2亚型的诊疗一直是乳腺癌研究的核心方向。HER2阳性乳腺癌侵袭性强，而HER2低表达乳腺癌曾长期缺乏靶向治疗手段，直到新一代抗体偶联药物（ADC）的出现，才彻底改变了这一格局。新型ADC药物不仅重塑了HER2阳性乳腺癌的治疗标准，更让HER2低表达患者首次迎来专属靶向治疗[1]。本文结合最新临床研究，解析HER2谱系乳腺癌的治疗演进、新型ADC药物的临床价值、耐药机制及多元化应对策略，为临床精准诊疗提供参考。一、HER2谱系乳腺癌：从二元分类到连续谱系的认知升级乳腺癌的HER2状态曾被简单划分为阳性（IHC 3+或IHC 2+/ISH+）和阴性，约占所有乳腺癌40%-50%的HER2低表达群体（IHC 1+或IHC 2+/ISH-）被归为阴性，错失靶向治疗机会[2]。HER2阳性乳腺癌占比20%-30%，易发生中枢神经系统转移，靶向治疗出现前预后极差[3]。更重要的是，HER2表达并非静态，约30%-65%的患者在治疗中会出现HER2下调或丢失，表型转换成为耐药重要原因[4]。而HER2超低表达（IHC>0但<1+）的治疗价值也被逐步证实，印证了HER2表达是连续谱系而非二元对立的核心观点[2]。二、ADC初时代：T-DM1开启HER2靶向ADC治疗先河作为首款获批的HER2靶向ADC，T-DM1将曲妥珠单抗与微管抑制剂DM1偶联，首次实现了抗HER2靶向性与细胞毒性的结合，打破了传统抗HER2单药的治疗局限[11]。EMILIA试验证实，T-DM1对比拉帕替尼联合卡培他滨，显著改善了经曲妥珠单抗治疗进展的HER2阳性转移性乳腺癌患者的无进展生存期和总生存期，成为HER2阳性乳腺癌二线治疗的标准方案[11]，也为后续ADC药物的研发奠定了技术和临床基础，推动了ADC药物在乳腺癌治疗领域的发展和应用。三、新型ADC的核心突破：重新定义HER2谱系乳腺癌治疗标准经过多年技术上的革新， ADC 药物的研发迎来了靶点选择、连接子设计、细胞毒性载荷搭配的全方位升级，药物的靶向性、有效性和安全性均实现质的提升，也让 ADC 成为乳腺癌靶向治疗的核心方向。T-DXd凭借高药物抗体比（DAR≈8）、可裂解连接子、拓扑异构酶I抑制剂payload的独特设计，实现了靶向性与细胞毒性的双重提升，还能通过旁观者效应作用于异质性肿瘤细胞，即便肿瘤存在HER2表达不均一的情况，也能发挥抗肿瘤作用[1]。这款药物也成为中国获批用于HER2阳性和HER2低表达转移性乳腺癌治疗的核心ADC药物，填补了HER2低表达亚型靶向治疗的空白。在HER2阳性转移性乳腺癌中，DESTINY-Breast03试验显示，T-DXd对比T-DM1将中位无进展生存期（PFS）从6.8个月延长至28.8个月，显著提升客观缓解率，成为HER2阳性乳腺癌二线治疗的新标准[3]；DESTINY-Breast01试验中，T-DXd对多线治疗后进展的HER2阳性患者客观缓解率（ORR）仍达60.9%，中位缓解持续时间14.8个月，为晚期难治性患者带来生存获益[3]。针对HER2阳性乳腺癌常见的脑转移治疗难点，TUXEDO-1试验证实T-DXd具备良好的血脑屏障穿透性，颅内ORR达73.3%，中位PFS 21个月，突破了传统抗HER2药物颅内疗效有限的瓶颈[5]。在HER2低表达领域，T-DXd的突破具有革命性意义，DESTINY-Breast04试验首次证实，其对比传统化疗显著改善HER2低表达转移性乳腺癌患者的总生存期（23.9个月vs 17.5个月）和PFS（10.1个月vs 5.4个月），让这一庞大群体首次获得针对性的靶向治疗方案[1]。四、新型ADC药物的耐药机制：多维度解析治疗挑战尽管以T-DXd为代表的新型ADC药物疗效显著，但耐药仍不可避免，核心机制主要包括四类[4]：一是HER2表达异常，65%的耐药患者出现HER2下调，32.4%发生完全丢失，截短型p95HER2的出现也会阻碍药物与靶点结合[4]；二是DNA损伤修复（DDR）通路异常，SLX4、RB1、PTEN的突变或缺失会削弱肿瘤细胞对DNA损伤的敏感性，TOP1基因突变还会引发药物交叉耐药[6]；三是肿瘤微环境重塑，肿瘤相关成纤维细胞积累形成致密基质屏障阻碍药物渗透，组织蛋白酶L缺乏则会导致药物释放障碍[4]；四是免疫逃逸，HLA-I表达下调、PD-L1和CD47上调，会显著削弱T-DXd的免疫调节作用[6]。五、突破耐药：HER2谱系乳腺癌的多元化治疗策略针对T-DXd耐药后的临床需求，目前已形成多维度的应对策略，核心以ADC序贯治疗为基础，结合联合治疗、新一代药物研发及真实世界创新治疗框架，为患者提供持续的治疗选择[7]。ADC序贯治疗需根据药物靶点和payload差异精准切换，避免交叉耐药，HER2阳性患者T-DXd耐药后，RC48的疗效优于T-DM1[7]，ADC治疗反应评分（ADC-TRS）模型还可整合HER2/TROP2表达及增殖指数，为序贯决策提供量化依据[9]；联合治疗则围绕T-DXd耐药机制，与抗HER2药物、DDR抑制剂、免疫检查点抑制剂等联用，通过靶向不同通路实现协同增效，相关临床研究也在不断验证其有效性与安全性[10]；ARX788、HER3-DXd、Dato-DXd等新一代ADC药物，通过优化靶点、连接子或payload设计，为T-DXd耐药患者开拓了新的靶向治疗方向[6,7]；而真实世界中提出的“ADC-小分子/化疗-ADC”三步策略，通过交替使用不同作用机制的治疗手段打破肿瘤适应性耐药，也为临床实践提供了灵活可行的治疗方案[7]。六、总结与展望 T-DXd的出现推动HER2谱系乳腺癌诊疗进入分子特征指导、耐药机制驱动的个体化时代，既显著改善了HER2阳性和低表达患者的生存预后，也让HER2表达的连续谱系认知成为临床共识。未来，多组学技术、动态液体活检将助力实现更精准的耐药预警，新一代ADC、双特异性抗体与免疫治疗的联合应用，将进一步拓展HER2谱系乳腺癌的治疗边界。临床诊疗中，需结合患者的分子特征、治疗史及临床状态制定个体化方案，最大化靶向治疗的临床获益。参考文献：（滑动查看） [1] Modi S, Jacot W, Yamashita T, et al. Trastuzumab deruxtecan in previously treated HER2-low advanced breast cancer[J]. N Engl J Med, 2022, 387(1): 9-20. [2] Tarantino P, Viale G, Press M F, et al. ESMO expert consensus statements on the definition, diagnosis, and management of HER2-low breast cancer[J]. Ann Oncol, 2023, 34(8): 645-659. [3] Hurvitz S A, Hegg R, Chung W P, et al. Trastuzumab deruxtecan versus trastuzumab emtansine in patients with HER2-positive metastatic breast cancer: updated results from DESTINY-Breast03[J]. Lancet, 2023, 401(10371): 105-117. [4] Chen Y F, Xu Y Y, Shao Z M, et al. Resistance to antibody-drug conjugates in breast cancer: mechanisms and solutions[J]. Cancer Commun, 2023, 43(3): 297-337. [5] Bartsch R, Berghoff A S, Furtner J, et al. Trastuzumab deruxtecan in HER2-positive breast cancer with brain metastases: a single-arm, phase 2 trial[J]. Nat Med, 2022, 28(9): 1840-1847. [6] Krop I E, Masuda N, Mukohara T, et al. Patritumab deruxtecan (HER3-DXd) in patients with previously treated HER3-expressing metastatic breast cancer[J]. J Clin Oncol, 2023, 41(36): 5550-5560. [7] Tarantino P, Lee D, Foldi J, et al. Outcomes with trastuzumab deruxtecan by biomarker status, line of treatment and prior receipt of sacituzumab govitecan in a large real-world database of patients with metastatic breast cancer[J]. ESMO Open, 2025, 10(7): 105330. [8] Huppert L A, Mahtani R, Fisch S, et al. Multicenter retrospective cohort study of the sequential use of the antibody-drug conjugates trastuzumab deruxtecan and sacituzumab govitecan in patients with HER2-low metastatic breast cancer[J]. NPJ Breast Cancer, 2025, 11(1): 34. [9] Cani A, Tomlins S A, Johnson B, et al. Antibody drug conjugates treatment response score for sequencing trastuzumab deruxtecan and sacituzumab govitecan in advanced breast cancer[J]. J Clin Oncol, 2025, 43(16_suppl): 1053-1053. [10] Hamilton E, Galsky M D, Ochsenreither S, et al. Trastuzumab deruxtecan with nivolumab in HER2-expressing metastatic breast or urothelial cancer[J]. Clin Cancer Res, 2024, 30(24): 5548-5558. [11] Verma S, Miles D, Gianni L, et al. Trastuzumab emtansine for HER2-positive advanced breast cancer[J]. N Engl J Med,2012,367(19):1783-1791. 本资料仅供医疗卫生专业人士参考，请勿向非医疗卫生专业人士发放材料编码：CN-20260401-00007 （来源：《肿瘤瞭望》编辑部）声明凡署名原创的文章版权属《肿瘤瞭望》所有，欢迎分享、转载。本文仅供医疗卫生专业人士了解最新医药资讯参考使用，不代表本平台观点。该等信息不能以任何方式取代专业的医疗指导，也不应被视为诊疗建议，如果该信息被用于资讯以外的目的，本站及作者不承担相关责任。

2026-04-02

·北京医学感染与传染研究

生物医学中心 - 医学 24卷 1期（1-3月）

BMC Medicine [Jour] AND 24[volume] AND 1[issue] 生物医学中心 - 医学 24卷 1期 https://link.springer.com/journal/12916/volumes-and-issues/24-1 188 articles in this issue Effectiveness of group-based art interventions for late-life depression: a systematic review and meta-analysis of randomized controlled trials 团体艺术干预对老年抑郁症的疗效：一项针对随机对照试验的系统综述和荟萃分析 Mohamad AzhdarlooRaziyeh AtaeiAbouzar Nazari Research 24 February 2026 Article: 188 The associations of consultant sex on herding‑like prescribing behaviour: evidence from a web-based experiment with female primary care physicians in England 顾问性别对从众式处方行为的影响：来自一项针对英格兰女性初级保健医生的网络实验的证据 Sandro Tiziano StoffelMatthias SchwenkglenksBerna Cennet Özdemir Research 24 February 2026 Article: 187 Tricarboxylic acid cycle metabolite index predicts adverse outcomes in acute myocardial infarction patients 三羧酸循环代谢物指数预测急性心肌梗死患者的不良预后 Ye WangPengyan WuBo Yu Research 24 February 2026 Article: 186 Targeting cancer stem cells predicts response and reverses chemoresistance in ascites-derived ovarian cancer organoids 靶向癌症干细胞可预测腹水来源的卵巢癌类器官的反应并逆转化疗耐药性 Xiaoli ZhangWen ZhangHuiqin Guo Research 24 February 2026 Article: 185 Neural vulnerability to stress in adolescents: a longitudinal study using polyconnectomic scoring of depression risk 青少年神经对压力的易感性：一项使用抑郁风险多连接组评分进行的纵向研究 Yuan LiuMeijuan LiJie Li Research 24 February 2026 Article: 184 Part of 1 collection:Child and adolescent psychiatry 所属专题合集：儿童与青少年精神病学 Classification of ALS molecular subtypes: a literature review on machine learning applications and their clinical value 肌萎缩侧索硬化症分子亚型分类：机器学习应用及其临床价值的文献综述 John K. JammalEsteban A. GomezAlfredo Iacoangeli Review 23 February 2026 Article: 183 Part of 1 collection:Amyotrophic lateral sclerosis: latest advances and novel updates 所属专题合集：肌萎缩侧索硬化症：最新进展与新动态 Can we protect refugee children from mental health problems?— a scoping review of modifiable factors to inform preventive interventions 我们能否保护难民儿童免受心理健康问题困扰？——一项旨在为预防性干预提供信息的可改变因素的范围性综述 Rita GonçalvesM J MarquesSónia Dias Research 23 February 2026 Article: 182 Part of 1 collection:Child and adolescent psychiatry 所属专题合集：儿童与青少年精神病学 The Trial Bank initiative to promote trustworthy living evidence for medication safety (PROMISE) of children: design and pilot validation 促进儿童用药安全可信实时证据（PROMISE）的试验库计划：设计与初步验证 Chang XuSuhail A. DoiPROMISE Collaborative Research Network Research 21 February 2026 Article: 181 Is liquid biopsy a cost-effective method to diagnose Burkitt Lymphoma in children and young adults? A health economic evaluation in Tanzania 液体活检是否为诊断坦桑尼亚儿童和青年成人伯基特淋巴瘤的一种具有成本效益的方法？一项卫生经济学评估 Jingjing JiangLiz MorrellAI-REAL Consortium Research 21 February 2026 Article: 180 The influence of immunohistochemistry-based subtypes on overall survival in breast cancer spine metastases: a systematic review and meta-analysis 基于免疫组织化学的亚型对乳腺癌脊柱转移总生存期的影响：一项系统综述和荟萃分析 Fon-Yih TsuangYun-Heng LiChung Liang Chai Research 21 February 2026 Article: 179 Prenatal exposure to maternal asthma and asthma medication and neurodevelopmental outcomes: a population cohort study of 179,024 children 产前接触母体哮喘及哮喘药物与神经发育结局的关系：一项针对179,024例儿童的人群队列研究 Lama A. ShakhshirSarjit SinghMichael Fleming Research 20 February 2026 Article: 178 First-in-human phase 1/2a study of T3011, an oncolytic HSV expressing IL-12 and PD-1 antibody, administered via intratumoral (IT) injection as monotherapy in advanced solid tumors, including recurrent or metastatic HNSCC T3011（一种表达IL-12和PD-1抗体的溶瘤性单纯疱疹病毒）首次人体1/2a期研究：通过瘤内（IT）注射作为单一疗法治疗包括复发或转移性头颈部鳞状细胞癌在内的晚期实体瘤 Dongmei JiWenmin FuXichun Hu Research 20 February 2026 Article: 177 Expanding access to cerebrovascular imaging with routine MRI for pre-surgical assessment of intracranial tumor patients: an AI model development and multi-center validation study 利用常规MRI扩大脑血管成像在颅内肿瘤患者术前评估中的应用范围：一项人工智能模型开发与多中心验证研究 Chaoyue ChenZhouyang HuangJianguo Xu Research 20 February 2026 Article: 176 Changing landscape of physical fitness and urban–rural inequalities: evidence from 1.2 million children and adolescents over 20 years of urbanization 20年城市化进程中120万例儿童和青少年体质健康状况及城乡差异的变化 Shan CaiJiaxin LiYi Song Research 19 February 2026 Article: 175 Efficacy and safety of anti-prediabetic drugs in patients with prediabetes: a Bayesian network meta-analysis 抗糖尿病前期药物在糖尿病前期患者中的疗效和安全性：一项贝叶斯网状荟萃分析 Yike WuZihan WangGuo Ma Research 19 February 2026 Article: 174 Clonal haematopoiesis of indeterminate potential and risk of incident psychiatric disorders Yuefeng YuChenyi WanNingjian Wang 意义未明的克隆性造血与新发精神障碍风险 Research 18 February 2026 Article: 173 Spatial characterization of intrahepatic fat deposition across steatotic liver disease subcategories: a multicenter study 脂肪性肝病各亚类中肝内脂肪沉积的空间特征：一项多中心研究 Yan-Ci ZhaoMin WangFeng Chen Research 18 February 2026 Article: 172 Pregnancy outcomes among medically complex populations with high risk of pregnancy mortality in Virginia: a retrospective observational study 弗吉尼亚州妊娠死亡高风险医学复杂人群的妊娠结局：一项回顾性观察研究 Michael J. GreenLauren G. AndersonJonas J. Swartz Research 18 February 2026 Article: 171 Maternal amino acid metabolites during pregnancy and preterm birth: results from two prospective cohort studies 孕期母体氨基酸代谢物与早产的关系：两项前瞻性队列研究的结果 Jingnan ChenYidan DongJu-Sheng Zheng Research 18 February 2026 Article: 170 Correction: Trajectory of the body weight after drug discontinuation in the treatment of anti-obesity medications 更正：停用抗肥胖药物后体重的变化轨迹 Han WuWenjia YangLinong Ji Correction 25 March 2026 Article: 169 Physical activity patterns and cardiovascular disease risk in adults with overweight or obesity: a prospective cohort study 超重或肥胖成人身体活动模式与心血管疾病风险：一项前瞻性队列研究 Kai MuYanan QiaoBo Xi Research 16 February 2026 Article: 168 Part of 1 collection:Weight loss interventions and their health impacts 所属专题合集：减肥干预措施及其对健康的影响 Maternal migraine and offspring ADHD: triangulating the evidence 母亲偏头痛与后代多动症（ADHD）：多方证据综合分析 Yaxin LuoChristina DardaniEvie Stergiakouli Research 14 February 2026 Article: 167 Part of 1 collection:Child and adolescent psychiatry 所属专题合集：儿童与青少年精神病学 An autonomous siRNA delivery system targeting NLRP3: implications in Parkinson’s disease 靶向NLRP3的自主性小干扰RNA（siRNA）递送系统：在帕金森病中的潜在意义 Lishan LinZhizong LiZhong Pei Research 12 February 2026 Article: 166 Lay descriptions of painful temporomandibular disorders—an international consensus proposal for Global Burden of Disease estimates 颞下颌关节紊乱病疼痛的通俗描述——全球疾病负担评估的国际共识提案 A. LövgrenP. LivP. Svensson Research 17 March 2026 Article: 165 Association of soluble tumor necrosis factor receptor 1 with tau pathology, brain atrophy, and cognitive decline: a longitudinal study 可溶性肿瘤坏死因子受体1与tau蛋白病变、脑萎缩及认知功能下降的关联：一项纵向研究 Yutong ZhangLulu SunAlzheimer’s Disease Neuroimaging Initiative Research 11 February 2026 Article: 164 Part of 1 collection:Healthy aging and longevity: the role of preventive medicine and risk factors 所属专题合集：健康老龄化与长寿：预防医学和风险因素的作用 Particulate matter and respiratory health in middle-aged and older adults: disentangling size-fractionated and constituent-specific effects under China’s clean-air policies 颗粒物与中老年人呼吸系统健康的关系：厘清中国净化空气政策下不同粒径及成分的特定影响 Yujing ChenZhaoyan LiuYu-ming Chen Research 11 February 2026 Article: 163 Part of 1 collection:Climate change and human health 所属专题合集：气候变化与人类健康 Clinical impact and cost-effectiveness of vaccinating infants and adolescents against invasive meningococcal B disease in the Netherlands 荷兰为婴儿和青少年接种针对侵袭性脑膜炎球菌B病的疫苗的临床影响和成本效益 Thomas OttenMirjam KnolAnneke Steens Research 10 February 2026 Article: 162 Association between trajectories of sleep quality and postpartum depression: a group-based trajectory model and computer-simulated network analysis 睡眠质量轨迹与产后抑郁之间的关联：基于组别的轨迹模型和计算机模拟网络分析 Xiaoxiao MeiJinzhou YuZengjie Ye Research 10 February 2026 Article: 161 Part of 1 collection:Sleep and mental health 所属专题合集：睡眠与心理健康 Understanding Japan’s mortality advantage: a comparison of mortality in independent and dependent older adults in Japan and Sweden 解读日本在死亡率方面的优势：日本与瑞典独立生活及依赖他人生活老年人的死亡率比较 Shunsuke MurataMarcus EbelingKarin Modig Research 23 March 2026 Article: 160 Part of 1 collection:Healthy aging and longevity: the role of preventive medicine and risk factors 所属专题合集：健康老龄化与长寿：预防医学及风险因素的作用 The Young Adult Sleep model: an evolving causal loop diagram of mental health dynamics 青年睡眠模型：心理健康动态演变的因果环路图 Jeroen F. UlemanRushd F. M. Al-ShamaNaja Hulvej Rod Research 16 March 2026 Article: 159 Part of 1 collection:Sleep and mental health 所属专题合集：睡眠与心理健康 Oncostatin-M ligand-based CAR-T therapy displays robust anti-tumor activity against osteosarcoma 基于抑瘤素M配体的CAR-T疗法对骨肉瘤显示出强大的抗肿瘤活性 Daniel FeinbergVinayak UppinReshmi Parameswaran Research 17 March 2026 Article: 158 Antimicrobial catheters coated with poly-L-lysine for the prevention of bacteriuria in adults requiring short-term catheterization: a multicenter randomized controlled trial 涂有聚-L-赖氨酸的抗菌导管预防短期导尿成人患者菌尿症：一项多中心随机对照试验 Xinfei LiJun LiuKai Zhang Research 09 February 2026 Article: 157 Penpulimab in combination with lenalidomide and R-GemOx regimen (R2-GemOx-PD1i) in relapsed or refractory diffuse large B-cell lymphoma: a multicenter, single-arm, phase 2 trial 派安普利单抗联合来那度胺和R-GemOx方案（R2-GemOx-PD1i）治疗复发或难治性弥漫性大B细胞淋巴瘤：一项多中心、单臂、2期试验 Jin-Hua LiangTong-Yao XingWei Xu Research 09 February 2026 Article: 156 Digital twin brain reveals state-specific stimulation targets for abnormal brain dynamics in tinnitus 数字孪生大脑揭示耳鸣异常脑动力学状态特异性刺激靶点 Jiaqi ZhangShuting HanTianzi Jiang Research 10 February 2026 Article: 155 The case for mandatory reporting to enable targets for healthy and environmentally sustainable food: means, motive and opportunity 强制报告实现健康且环境可持续食物目标的理由：方法、动机和机会 Rachel PecheyLauren BandySusan A. Jebb Debate 10 February 2026 Article: 154 Genetic insights into radiomic and proteomic changes under β1-blockers treatment in hypertensive heart disease and hypertrophic cardiomyopathy β1受体阻滞剂治疗高血压性心脏病和肥厚型心肌病时放射组学和蛋白质组学变化的遗传学见解 Zhe ChenYifan TangKai Xie Research 09 February 2026 Article: 153 Part of 1 collection:Cardiomyopathy and cardiac arrhythmias 所属专题合集：心肌病与心律失常 Optimizing drug-resistant tuberculosis diagnosis: cost-effectiveness of rapid molecular and phenotypic assays in South Africa 优化耐药结核病诊断：南非快速分子和表型检测方法的成本效益分析 Ginenus FekaduTadesse TolossaWai Kit Ming Research 09 February 2026 Article: 152 Maternal smoking based on pre-birth health examination and risk of neurodevelopmental disorders in offspring: insights from a Korean mother–child cohort 基于产前健康检查探讨母亲吸烟与后代神经发育障碍风险的关系：来自韩国母婴队列研究的见解 Chan Soon ParkMoonyoung JangJun-Bean Park Research 11 March 2026 Article: 151 Part of 1 collection:Child and adolescent psychiatry 所属专题合集：儿童与青少年精神病学 Effects of ablation versus drug therapy on clinical outcomes and quality of life by frailty status in atrial fibrillation: a post hoc analysis of the CABANA trial 根据衰弱状态分析消融术与药物治疗对心房颤动患者临床预后和生活质量的影响：CABANA试验的事后分析 Lili WangYanguang LiYunlong Wang Research 07 February 2026 Article: 150 Part of 1 collection:Cardiomyopathy and cardiac arrhythmias 所属专题合集：心肌病与心律失常 Quantifying lifetime risk for 1,401 infectious diseases across the diabetes spectrum using a Bayesian approach 采用贝叶斯方法量化糖尿病全病程中1401种传染病的终生风险 Boomer B. OlsenMartin Tristani-FirouziEdgar Javier Hernandez Research 07 February 2026 Article: 149 Part of 1 collection:Diabetes and infectious disease 所属专题合集：糖尿病与传染病 Risk assessment of asthma and allergic rhinitis in atopic dermatitis patients treated with biologics and JAK inhibitors: a systematic review and network meta-analysis of randomized controlled trials 对接受生物制剂和JAK抑制剂治疗的特应性皮炎患者罹患哮喘和过敏性鼻炎的风险评估：一项针对随机对照试验的系统综述和网络荟萃分析 Liling ZengTong ZhouJing Li Research 07 February 2026 Article: 148 Preclinical activity of brincidofovir in peripheral T-cell and NK/T-cell lymphoma 布林西多福韦（brincidofovir）在外周T细胞和NK/T细胞淋巴瘤中的临床前活性 Jason Yongsheng ChanElizabeth Chun Yong LeeChoon Kiat Ong Research 06 February 2026 Article: 147 Genetic risk factors modulate the association between physical activity and colorectal cancer 遗传风险因素调节身体活动与结直肠癌之间的关联 Anita R. PeoplesMireia Obón-SantacanaVictor Moreno Research 05 February 2026 Article: 146 A neuroimaging biomarker for disease staging in clinically diagnosed Alzheimer’s disease 临床诊断阿尔茨海默病的疾病分期神经影像学标志物 Zhuangzhuang LiShaozhen YanYong Liu Research 05 February 2026 Article: 145 Association of GLP-1 receptor agonists with herpes risks in diabetes mellitus: a target trial emulation 胰高血糖素样肽-1（GLP-1）受体激动剂与糖尿病中疱疹风险的关联：一项目标试验模拟研究 Chi-Hsien HuangI-Hui ChiangJames Cheng-Chung Wei Research 31 December 2025 Article: 144 Part of 1 collection:Diabetes and infectious disease 所属专题合集：糖尿病与感染性疾病 Neoadjuvant immunochemotherapy plus thymalfasin in locally advanced gastric cancer: a prospective clinical trial 局部晚期胃癌联合胸腺肽的新辅助免疫化疗：一项前瞻性临床试验 Hao XuFengyuan LiZekuan Xu Research 26 February 2026 Article: 143 Part of 1 collection:Clinical trials for gastrointestinal cancer 所属专题合集：胃肠道癌症的临床试验 Detection of sequelae from acute meningitis during clinical review by a healthcare provider: a systematic review and meta-analysis 临床医生在临床复查中检测急性脑膜炎后遗症：一项系统综述和荟萃分析 Luisa F. AlvizCarla Y. KimKiran T. Thakur Research 28 February 2026 Article: 142 Part of 1 collection:Acute meningitis: a collection of systematic reviews 所属专题合集：急性脑膜炎：系统综述合集 ISG15-driven immune modulation and tumor progression in breast cancer metastasis: insights from single-cell and spatial transcriptomics ISG15驱动的免疫调节与乳腺癌转移中的肿瘤进展：来自单细胞和空间转录组学的见解 Hua ShaoHanlu TangYongqing Xu Research 04 February 2026 Article: 141 Evaluating the impact of family history and polygenic risk scores on cardiometabolic disease risk 评估家族史和多基因风险评分对心代谢疾病风险的影响 Ebuka OnyenobiKnightess OyiboSally N. Adebamowo Research 03 February 2026 Article: 140 Social networking site use, depressive and anxiety symptoms in adolescents: evidence from a longitudinal cohort study (SCAMP) 社交网站使用与青少年抑郁和焦虑症状：来自纵向队列研究（SCAMP）的证据 Chen ShenBraulio M. Girela-SerranoMireille B. Toledano Research 03 February 2026 Article: 139 Part of 1 collection:Child and adolescent psychiatry 所属专题合集：儿童与青少年精神病学 Early gestational prediction of spontaneous preterm birth using a validated three-protein serum biomarker panel 使用经验证的三蛋白血清生物标志物组合进行早孕期自发性早产预测 Qiong LuoJuan WeiXuefeng B. Ling Research 02 February 2026 Article: 138 Household cannabis cessation and adolescent mental health outcomes in a prospective cohort study 一项前瞻性队列研究中家庭大麻戒断与青少年心理健康预后的关系 Ming WangYixiang XuFei Li Research 02 February 2026 Article: 137 Part of 1 collection: Psychoactives: Recreational drugs repurposed as novel therapies 所属专题合集：精神活性物质：娱乐性药物重新利用为新型疗法 Objective assessment of long-term impact of COVID-19 on multiple sensory functions 客观评估新冠肺炎对多种感觉功能的长期影响 Ahmad OdehVeronica L. FormanekKai Zhao Research 27 February 2026 Article: 136 Detection of hearing loss by formal audiological testing after acute infectious meningitis: a global systematic review and meta-analysis 急性感染性脑膜炎后通过正式听力检测诊断听力损失：一项全球系统综述和荟萃分析 Luisa F. AlvizCarla Y. KimKiran T. Thakur Review 28 February 2026 Article: 135 Part of 1 collection: Acute meningitis: a collection of systematic reviews 所属专题合集：急性脑膜炎：系统综述合集 Serological evidence of substantial respiratory syncytial virus infection burden among older adults residing in Swedish long-term care facilities 血清学证据表明，居住在瑞典长期护理机构中的老年人存在沉重的呼吸道合胞病毒感染负担 Preeti MoarChristoffer GranvikMattias N. E. Forsell Research 24 February 2026 Article: 134 Association of parental education with offspring psychiatric diagnoses, violent crimes, and suicidal behavior: a nationwide Swedish quasi-experimental study 父母受教育程度与后代精神疾病诊断、暴力犯罪和自杀行为之间的关联：一项瑞典全国范围的准实验研究 Mengping ZhouHenrik LarssonErik Pettersson Research 26 February 2026 Article: 133 Discriminative performance of externally validated dementia risk prediction models: a systematic review and meta-analysis 外部验证的痴呆风险预测模型的鉴别性能：一项系统综述和荟萃分析 Blossom C. M. StephanJacob BrainMario Siervo Research 02 February 2026 Article: 132 Part of 1 collection:Healthy aging and longevity: the role of preventive medicine and risk factors 所属专题合集：健康老龄化与长寿：预防医学和风险因素的作用 Efficacy and safety of intravenous administration of high-dose selenium for preventing chemotherapy-induced peripheral neuropathy in platinum-sensitive recurrent ovarian cancer: a phase 3, double-blind, parallel group, randomized controlled pilot study 静脉注射大剂量硒预防铂敏感复发性卵巢癌化疗所致周围神经病变的有效性和安全性：一项3期、双盲、平行组、随机对照试点研究 Ga Won YimKyung Hee HanHee Seung Kim Research 02 February 2026 Article: 131 Time for change in implementation research and practice 实施研究和实践中变革的时机已到 Mike EnglishJacob McKnightSebastian Fuller Debate 02 February 2026 Article: 130 CardioMetAge estimates cardiometabolic aging and predicts disease outcomes CardioMetAge可评估心脏代谢年龄并预测疾病结局 Yucan LiXinming XuKelin Xu Research 31 January 2026 Article: 129 Disproportionate climate burden of rising temperatures on low birth weight in Pakistan 气温上升给巴基斯坦低出生体重儿带来的不成比例的气候负担 Syeda H. FatimaCorey J. A. BradshawZohra S. Lassi Research 31 January 2026 Article: 128 Part of 1 collection: Climate change and human health 所属专题：气候变化与人类健康 Enhancing oncolytic virotherapy with a tri-specific T-cell engager targeting CD3ε, EpCaM, and 4-1BB: preclinical evaluation and implications for cancer immunotherapy 利用靶向CD3ε、EpCaM和4-1BB的三特异性T细胞衔接器增强溶瘤病毒疗法：临床前评估及对癌症免疫疗法的启示 Zhongyi DongHaoyu ZhangZizhen Zhang Research 30 January 2026 Article: 127 Targeting BCL-XL for degradation synergizes with gemcitabine against cholangiocarcinoma 靶向降解BCL-XL与吉西他滨联用对胆管癌具有协同治疗作用 Qinghua ZengYan ZhangYonghan He Research 30 January 2026 Article: 126 Association of DNA methylation with hypertension and blood pressure: a 7-year longitudinal study from KORA F4/FF4 DNA甲基化与高血压及血压的关联：来自KORA F4/FF4的7年纵向研究 Liye LaiAngelina Shin Yee JongMelanie Waldenberger Research 04 February 2026 Article: 125 Shared genetic architecture of psychoactive substance use and pan-cancer: insights from a large‑scale genome‑wide cross‑trait analysis 精神活性物质使用与泛癌症的共享遗传结构：来自大规模全基因组跨性状分析的见解 Jiahang SongPengzhu LiOlivier Gires Research 05 February 2026 Article: 124 Part of 1 collection: Psychoactives: Recreational drugs repurposed as novel therapies 所属专题：精神活性物质：作为新型疗法的娱乐性药物再利用 Intrauterine exposure to maternal diabetes and the risk of developing epilepsy in children: a national cohort study of 2.3 million children 宫内暴露于母体糖尿病与儿童患癫痫风险的关系：一项针对230万儿童的全国队列研究 Muhammad Zakir HossinMartina PerssonNeda Razaz Research 14 February 2026 Article: 123 ADHD and adherence to antihypertensive medication treatment: a multinational cohort study 多动症与坚持抗高血压药物治疗的关系：一项多国队列研究 Honghui YaoYiling ZhouZheng Chang Research 20 February 2026 Article: 122 How effective is rejoining a long-term weight loss program? The 5- and 10-year MRI-assessed Follow Interventions Trial (FIT) project 重新加入长期减肥计划的效果如何？5年和10年磁共振成像评估的随访干预试验（FIT）项目 Hadar KleinDafna PachterIris Shai Research 30 January 2026 Article: 121 Part of 1 collection: Weight loss interventions and their health impacts 所属专题：减肥干预措施及其对健康的影响 Correction: Brain state dynamics and working memory in patients with schizophrenia and unaffected siblings 更正：精神分裂症患者及其未受影响兄弟姐妹的脑状态动态与工作记忆 Feiwen WangJie YangLena Palaniyappan Correction 20 February 2026 Article: 120 Ocular light and optical radiation exposure as a modifiable environmental determinant of health: expert consensus on research gaps and priorities 作为可改变的环境健康决定因素的眼睛光暴露和光学辐射暴露：关于研究空白和优先事项的专家共识 Manuel SpitschanAnna M. BillerJohannes Zauner Guideline 29 January 2026 Article: 119 Dietary patterns and neuropsychological function in adolescents: a cross-sectional and longitudinal study 青少年饮食模式与神经心理功能：一项横断面和纵向研究 Alexios ManidisNicolas Ayala-AldanaJordi Julvez Research 29 January 2026 Article: 118 Part of 1 collection: Child and adolescent psychiatry 所属专题：儿童与青少年精神病学 Factors impacting the delivery of contextualized care in serious illness: a focus group study with healthcare professionals 影响危重症患者情境化护理实施的因素：一项针对医疗保健专业人员的焦点小组研究 Linda ModderkolkYvonne SchoonAnne B. Wichmann Research 29 January 2026 Article: 117 Part of 1 collection: Palliative care and medicine 所属专题：姑息治疗与医学 Early interventions for first onset of symptoms of mental health conditions: an umbrella review of systematic reviews 针对心理健康问题首次出现症状的早期干预措施：一项系统综述的伞式评价 Jasmine LeePhoebe BarnettSonia Johnson Research 29 January 2026 Article: 116 Harmonic patterns embedded in ictal EEG signals in focal epilepsy: new insight into the epileptogenic zone 局灶性癫痫发作间期脑电图信号中嵌入的谐波模式：对致痫区的新见解 Lingli HuLingqi YeShuang Wang Research 28 January 2026 Article: 115 Part of 1 collection: Epilepsy: Seizure prevention, treatment, and epidemiology 所属专题合集：癫痫：发作预防、治疗和流行病学 Effects of aerobic or resistance exercise on sleep and cancer-related fatigue in patients with breast cancer during or after neoadjuvant chemotherapy: a 3-arm randomized controlled trial 有氧运动或抗阻运动对新辅助化疗期间或之后乳腺癌患者睡眠和癌症相关疲劳的影响：一项三臂随机对照试验 Alexander HaussmannMartina E. SchmidtKaren Steindorf Research 28 January 2026 Article: 114 Neutrophil methylmalonic acid promotes microthrombus formation and adverse cardiac remodeling post-myocardial infarction through activating IL-6 signaling pathway-mediated NETosis 中性粒细胞甲基丙二酸通过激活IL-6信号通路介导的中性粒细胞胞外诱捕网形成（NETosis），促进心肌梗死后微血栓形成和不良心脏重构 Yige LiuJiaxin WangShaohong Fang Research 28 January 2026 Article: 113 Statistical approaches to analyse the combined effect of seven air pollutants and breast cancer risk: a case–control study nested in the French E3N-Generations cohort 分析七种空气污染物联合作用与乳腺癌风险关系的统计方法：一项嵌套于法国E3N-Generations队列的病例对照研究 Camille GiampiccoloBéatrice FerversAmina Amadou Research 28 January 2026 Article: 112 Part of 1 collection: Carcinogens and human health 所属专题合集：致癌物与人类健康 Is behaviour change communication guidance for general practice healthcare professionals evidence based? A systematic review 针对全科医疗保健专业人员的行为改变沟通指导是否具有循证依据？一项系统综述 Anika Schwarze-ChintapatlaJonathan Livingstone-BanksCharlotte Albury Research 16 February 2026 Article: 111 Patient-centred postpartum care provision: virtual delivery, tiered escalation, and tensions between efficiency, preference, and clinical concern 以患者为中心的产后护理服务提供：虚拟服务模式、分级转诊机制，以及效率、患者偏好与临床关切之间的矛盾 Sergio A. SilverioJulia R. B. BrownEmma L. Duncan Research 24 February 2026 Article: 110 Ethical dilemmas in climate change and healthcare delivery: a cross-sectional survey of US patient perspectives 气候变化与医疗服务中的伦理困境：一项针对美国患者观点的横断面调查 Andrew HantelEmily SenayGregory A. Abel Research 27 January 2026 Article: 109 Part of 1 collection: Climate change and human health 所属专题：气候变化与人类健康 Inetetamab plus camrelizumab and utidelone for pretreated HER2-positive advanced breast cancer: a prospective, single-arm, phase 2 study 伊尼妥单抗联合卡瑞利珠单抗和优替德隆治疗既往接受过治疗的HER2阳性晚期乳腺癌：一项前瞻性、单臂、2期研究 Huimin LvTao SunMin Yan Research 27 January 2026 Article: 108 Potential of earlier primary care health checks for prevention of cardiovascular events in younger age groups: population-based study in the United Kingdom 早期初级保健健康检查对预防年轻人群心血管事件的潜力：英国一项基于人群的研究 Catherine A. ScottLinxin LiPeter M. Rothwell Research 24 January 2026 Article: 107 Comparative effects of salt substitutes on blood pressure, cardiovascular events and mortality: a systematic review and network meta-analysis 盐替代品对血压、心血管事件和死亡率影响的比较：一项系统综述和网络荟萃分析 Honghao LaiGihad NesrallahBradley C. Johnston Research 23 January 2026 Article: 106 Association of short-term exposure to ambient air pollutants with liver function and mediation by fasting insulin: evidence from a rural cohort in China 短期暴露于环境空气污染物与肝功能的关系及空腹胰岛素的中介作用：来自中国农村队列研究的证据 Mengxin WangAogang ZhangWeidong Wu Research 23 January 2026 Article: 105 Part of 1 collection:Climate change and human health 所属专题：气候变化与人类健康 Adjuvant tislelizumab, lenvatinib, and capecitabine for resected biliary tract cancer: a prospective phase II trial 辅助治疗：替雷利珠单抗、仑伐替尼和卡培他滨用于可切除的胆道癌：一项前瞻性II期试验 Yun FengNing ZhangLu Wang Research 23 January 2026 Article: 104 Comparative effectiveness of sleeve gastrectomy and semaglutide for weight loss and metabolic outcomes: a prospective non-randomized study 袖状胃切除术与司美格鲁肽对减重及代谢结局的疗效比较：一项前瞻性非随机研究 Yutung YenQian ZhangYi Chen Research 22 January 2026 Article: 103 Part of 1 collection:Weight loss interventions and their health impacts 所属专题：减重干预措施及其对健康的影响 Impact of sex on outcomes in patients treated with drug-coated balloons versus drug-eluting stents for de novo coronary artery lesions: Insights from the REC-CAGEFREE I trial 性别对接受药物涂层球囊与药物洗脱支架治疗的新发冠状动脉病变患者预后的影响：来自REC-CAGEFREE I试验的见解 Ping WangJingyu ZhouLing Tao Research 22 January 2026 Article: 102 Assessing the comorbidity between asthma and depression through polygenic risk scoring and time-to-event models 通过多基因风险评分和时间事件模型评估哮喘与抑郁的共病情况 Xueting WangJun HeRenato Polimanti Research 22 January 2026 Article: 101 Persistent immune, coagulation and cardiac dysregulation are correlated with later post-discharge mortality in children with severe malnutrition 严重营养不良儿童出院后持续存在的免疫、凝血和心脏功能失调与后期死亡率相关 Brenda KamauEvans O. MudiboJames M. Njunge Research 22 January 2026 Article: 100 Correction: Computer assisted verbal autopsy: comparing large language models to physicians for assigning causes to 6939 deaths in Sierra Leone from 2019–2022 更正：计算机辅助口头尸检：对比大型语言模型与医生为2019 - 2022年塞拉利昂6939例死亡分配病因的情况 Richard WenAnteneh Tesfaye AssalifRashid Ansumana Correction 14 February 2026 Article: 99 Characteristics of parks associated with depression in women only: a cross-sectional study of 329,363 adults 仅与女性抑郁相关的公园特征：一项针对329,363名成年人的横断面研究 Jonathan R. OlsenNatalie NichollsRichard Mitchell Research 21 January 2026 Article: 98 Weight change mediates the effect of lifestyle intervention on postpartum diabetes in women with prior gestational diabetes: a secondary analysis of a randomized clinical trial 在生活方式干预对既往妊娠期糖尿病女性产后糖尿病影响中，体重变化的中介作用：一项随机临床试验的二次分析 Weiqin LiHuikun LiuGang Hu Research 21 January 2026 Article: 97 Part of 1 collection: Diagnosis and management of gestational diabetes 所属专题：妊娠期糖尿病的诊断与治疗 Global drivers of heart failure attributable to atrial fibrillation/flutter: insights fromJoinpoint regression, age-period-cohort analysis, and future projections from the GBD 2021 Study 心房颤动/扑动所致心力衰竭的全球驱动因素：来自折点回归、年龄-时期-队列分析以及2021年GBD（全球疾病负担）研究未来预测的见解 Jing ChenZhu LiGregory Y. H. Lip Research 20 January 2026 Article: 96 Part of 1 collection: Cardiomyopathy and cardiac arrhythmias 所属专题：心肌病与心律失常 Overdiagnosis of gestational diabetes mellitus during Ramadan: a retrospective population-based study in Catalonia, Spain 斋月期间妊娠期糖尿病的过度诊断：西班牙加泰罗尼亚地区一项基于人群的回顾性研究 Marta CarrascoBogdan VlachoMarta Hernández Research 20 January 2026 Article: 95 Part of 1 collection: Diagnosis and management of gestational diabetes 所属专题：妊娠期糖尿病的诊断与管理 Why current risk factor-based approaches fall short in predicting stillbirth: a national cohort study of nulliparous women in England 为何当前基于风险因素的方法在预测死胎方面存在不足：英格兰初产妇全国队列研究 A. HowellB. ThilaganathanTommy’s National Centre for Maternity Improvement Research 22 January 2026 Article: 94 Pay-it-forward intervention increased pneumococcal vaccine uptake among older adults in China: a randomized controlled trial 爱心传递干预措施提高了中国老年人肺炎球菌疫苗的接种率：一项随机对照试验 Jiao QinChunxing TaoBingyu Liang Research 19 January 2026 Article: 93 The impact of e-cigarette taxation: a systematic review and meta-analysis on usage, pricing strategies, and public health implications 电子烟税收的影响：针对使用情况、定价策略和公共卫生影响开展的系统综述和荟萃分析 Quan WangZheng ZhuLi Yang Research 17 January 2026 Article: 92 Safety and preliminary efficacy results of IBI389, an anti-Claudin18.2×CD3 bispecific antibody, in patients with solid tumors and gastric or gastro-esophageal tumors: a phase 1 dose escalation and expansion study 抗Claudin18.2×CD3双特异性抗体IBI389在实体瘤及胃或胃食管肿瘤患者中的安全性与初步疗效结果：一项1期剂量递增与扩展研究 Xiaoyu LiRuihong DaiFeng Bi Research 16 January 2026 Article: 91 Part of 1 collection: Clinical trials for gastrointestinal cancer 所属专题：胃肠道癌症临床试验 Comparative risk of delirium among opioid users for non-cancer pain: a retrospective cohort study 比较非癌症疼痛使用阿片类药物者发生谵妄的风险：一项回顾性队列研究 Carlos Raul Ramirez MedinaMark LuntMeghna Jani Research 31 January 2026 Article: 90 Association between preoperative interruption of antiplatelet therapy and postoperative thrombotic risk after minimally invasive surgery for abdominopelvic cancer in patients treated with P2Y12 inhibitors 接受P2Y12抑制剂治疗的患者行腹部盆腔癌症微创手术时，术前中断抗血小板治疗与术后血栓形成风险之间的关联 Masashi KubotaSatomi YoshidaKoji Kawakami Research 16 January 2026 Article: 89 Comparative outcomes of distal ureterectomy vs. radical nephroureterectomy in high-risk distal ureteral urothelial carcinoma: a two-center cohort study in Northern and Southern China 高危远端输尿管尿路上皮癌患者行远端输尿管切除术与根治性肾输尿管切除术的疗效比较：中国北方和南方两家中心的队列研究 Junyi XieZhenhua LiuWei Yu Research 16 January 2026 Article: 88 Co-occurrence patterns and related risk factors of dementia and Parkinson’s disease among older adults across 204 countries and territories: a spatial correspondence and systematic analysis 204个国家和地区老年人痴呆症与帕金森病共现模式及相关危险因素：空间对应与系统分析 Weiyang ChenMin DuJue Liu Research 15 January 2026 Article: 87 Accelerated brain aging in amyotrophic lateral sclerosis and its prognostic associations: a cohort study 肌萎缩侧索硬化症加速脑衰老及其预后关联：一项队列研究 Chenhao FangJiaoting JinShuoqiu Gan Research 15 January 2026 Article: 86 Part of 1 collection: Amyotrophic lateral sclerosis: latest advances and novel updates 所属专题：肌萎缩侧索硬化症：最新进展与新动态 The clinical effects and cortical mechanism of rTMS in poststroke lateropulsion: a randomized controlled trial 重复经颅磁刺激（rTMS）对脑卒中后侧方倾倒的临床效果及皮质机制：一项随机对照试验 Lijiao MengRaymond C. C. TsangQuan Wei Research 14 January 2026 Article: 85 5-HT2C receptors in the glutamatergic neurons of dorsal raphe nucleus orchestrate the comorbidity of pain and anxiety in mice 中脑背侧缝际核谷氨酸能神经元中的5-HT2C受体调控小鼠疼痛与焦虑共病 Qi ZhangLi XieRiyue Jiang Research 13 January 2026 Article: 84 The clinical landscape of POLE-mutant colorectal cancer: a retrospective analysis of real-world outcome POLE突变型结直肠癌的临床现状：一项现实结局的回顾性分析 Ting XuXuhui ZhangJian Li Research 13 January 2026 Article: 83 The efficacy and safety of duloxetine in treating refractory chronic cough: a randomized clinical trial 度洛西汀治疗难治性慢性咳嗽的有效性和安全性：一项随机临床试验 Shengyuan WangHeng WuXianghuai Xu Research 13 January 2026 Article: 82 Impact of diagnosis to ablation time on clinical outcomes in patients with atrial fibrillation: post hoc analysis of the CABANA trial 心房颤动患者从诊断到消融的时间对临床预后的影响：CABANA试验的事后分析 Manlin ZhaoYang ChenGregory Y. H. Lip Research 12 January 2026 Article: 81 Part of 1 collection: Cardiomyopathy and cardiac arrhythmias 所属专题：心肌病与心律失常 Elevated maternal pre-transfer serum lipid peroxidation is associated with implantation failure and early pregnancy loss 母体转运前血清脂质过氧化水平升高与着床失败和早期流产相关 Zhangwei JiaJunxiang RenJunhao Yan Research 12 January 2026 Article: 80 Impact of Helicobacter pylori infection on gut and intratumoral microbiome and its association with immunotherapy response in gastrointestinal cancer 幽门螺杆菌感染对肠道和肿瘤内微生物组的影响及其与胃肠道癌症免疫治疗反应的关联 Keren JiaYang ChenLin Shen Research 12 January 2026 Article: 79 Part of 1 collection: Gut microbiota: New treatments of human disease 所属专题：肠道微生物组：人类疾病的新疗法 SGLT-2 Inhibitor use and liver-related and mortality outcomes in patients with type 2 diabetes and compensated cirrhosis SGLT-2抑制剂在2型糖尿病合并代偿性肝硬化患者中的应用及其对肝脏相关预后和死亡率的影响 Tien-Shin ChouDaniel Hsiang-Te TsaiEdward Chia-Cheng Lai Research 12 January 2026 Article: 78 Extrapolating from trials to clinic: a predictive model defining the boundaries of benefit for multiple sclerosis therapies in real-world populations based on systematic review 从试验外推至临床：基于系统综述构建预测模型，界定多发性硬化症疗法在现实人群中的获益边界 Bibiana BielekovaTianxia WuMichael Calcagni Research 10 January 2026 Article: 77 A validated model for early prediction of group A streptococcal aetiology in necrotising soft tissue infections using minimal patient data 利用最少患者数据早期预测坏死性软组织感染A组链球菌病因的验证模型 Sonja KatzJaco SuijkerEdoardo Saccenti Research 10 January 2026 Article: 76 Trends in lipid-lowering therapies in acute coronary syndromes after Chinese new insurance policy: a real-world analysis 中国新医保政策实施后急性冠状动脉综合征患者降脂治疗趋势：一项现实情况分析 Xin ZhaoShujing WuJunbo Ge Research 09 January 2026 Article: 75 Fragmented healthcare and effective maternal coverage in Mexico, 2009–2023 2009-2023年墨西哥医疗体系碎片化与有效孕产妇医疗保障 Edson Serván-MoriDiego Cerecero-GarcíaOctavio Gómez-Dantés Research 09 January 2026 Article: 74 Circadian rhythm disruption in cardiovascular disease: a systematic review and meta-analysis of mechanistic evidence from animal models 昼夜节律紊乱与心血管疾病：基于动物模型机制证据的系统综述与荟萃分析 Mrinal K. DasEvi De RyckJohanna Samulin Erdem Research 09 January 2026 Article: 73 Frailty progression: The role of multimorbidity configurations in frailty transitions and predicting mortality risk among older adults 衰弱进展：多重共病组合模式在老年人衰弱状态转变及死亡风险预测中的作用 Rafael Ogaz-GonzálezQian ZouEva Corpeleijn Research 08 January 2026 Article: 72 Part of 1 collection: Healthy aging and longevity: the role of preventive medicine and risk factors 所属专题：健康老龄化与长寿：预防医学及风险因素的作用 Effect of probiotic supplementation on the gut microbiota diversity in healthy populations: a systematic review and meta-analysis of randomised controlled trials 益生菌补充剂对健康人群肠道微生物群多样性的影响：一项针对随机对照试验的系统综述和荟萃分析 Anna Júlia ÉliásKincső Csepke Földvári-NagyLászló Földvári-Nagy Research 07 January 2026 Article: 71 Part of 1 collection: Gut microbiota: New treatments of human disease 所属专题：肠道微生物群：人类疾病的新疗法 Pain and high-impact pain in community-dwelling older adults in Australia and relation to sociodemographic and health-related factors, including physical disability, psychological distress, and quality of life 澳大利亚社区居住老年人的疼痛及重度疼痛情况，及其与社会人口统计学因素和健康相关因素（包括身体残疾、心理困扰和生活质量）的关系 Grace JoshySaman Khalatbari-SoltaniEmily Banks Research 22 January 2026 Article: 70 Mortality and morbidity burden associated with smoking: evidence from a 1.6 million cohort in Hong Kong 与吸烟相关的死亡率和发病率负担：来自香港160万人队列研究的证据 Boyuan WangTingting ChenEric Yuk Fai Wan Research 06 January 2026 Article: 69 Part of 1 collection:Carcinogens and human health 所属专题：致癌物与人类健康 Association between long-term extreme high temperature and mortality: a 9-million prospective cohort study 长期极端高温与死亡率之间的关系：一项900万人的前瞻性队列研究 Bo YinQi HuangKuiying Gu Research 06 January 2026 Article: 68 Part of 1 collection:Climate change and human health 所属专题：气候变化与人类健康 Unraveling the neurotoxic mechanisms of tranexamic acid in epilepsy induction: a network toxicology and molecular docking approach 利用网络毒理学和分子对接方法揭示氨甲环酸诱发癫痫的神经毒性机制 Tianyang ChenDalong LiuXiangYang Leng Research 03 January 2026 Article: 67 Part of 1 collection: Epilepsy: Seizure prevention, treatment, and epidemiology 所属专题：癫痫：癫痫发作的预防、治疗和流行病学 Trop2 immuno-PET/CT imaging of prostate cancer: a proof-of-concept translational study Trop2免疫正电子发射断层扫描/计算机断层扫描（PET/CT）成像在前列腺癌中的应用：一项概念验证性转化研究 Xingru LongShuxian AnDawei Jiang Research 31 December 2025 Article: 66 Methylmalonate accumulation contributes to myocardial vulnerability post-reperfusion: a novel therapeutic target and prognostic biomarker 甲基丙二酸蓄积促进再灌注后心肌脆弱性：一种新型治疗靶点和预后生物标志物 Shanjie WangJunChen GuoShaohong Fang Research 31 December 2025 Article: 65 Prophylactic effect of intraoperative sodium oxybate on postoperative delirium in older patients undergoing major orthopedic surgery: a randomized clinical trial 术中羟丁酸钠对接受大型骨科手术的老年患者术后谵妄的预防作用：一项随机临床试验 Meiying CuiHang XuePing Zhao Research 31 December 2025 Article: 64 Part of 1 collection:Psychoactives: Recreational drugs repurposed as novel therapies 所属专题：精神活性物质：将娱乐性药物重新用于新型疗法 Prevalence of hysterectomy in urban China and associations between metabolic disorders and hysterectomy: a multicenter population-based study involving over 9 million women 中国城市子宫切除术的流行情况以及代谢紊乱与子宫切除术之间的关系：一项涉及超过900万女性的多中心人群基础研究 Yanrui BiYuan MaYing Gao Research 30 December 2025 Article: 63 Sex differences in cardiac risk and kidney function: serum creatinine versus cystatin C 心脏风险和肾功能方面的性别差异：血清肌酐与胱抑素C的对比 Nicole L. De La MataJames A. HedleyJennifer S. Lees Research 30 December 2025 Article: 62 The association of post-conization pregnancy with subsequent cervical lesions: evidence from a nationwide cohort in Sweden 锥切术后妊娠与后续宫颈病变的关联：来自瑞典全国队列研究的证据 Huan YiJimiao HuangJianguang Ji Research 29 December 2025 Article: 61 Tibial periosteal distraction for ischemic leg ulcers: animal and clinical cohort study 胫骨骨膜牵张术治疗缺血性下肢溃疡：动物及临床队列研究 Peilin ZhouWenqiang WangQikai Hua Research 28 December 2025 Article: 60 Preoperative conversion therapy of camrelizumab combined with paclitaxel and nedaplatin for unresectable advanced esophageal squamous cell carcinoma: a phase 2 study 卡瑞利珠单抗联合紫杉醇和奈达铂对不可切除的晚期食管鳞癌的术前转化治疗：一项2期研究 Jinhong ZhuJinfeng ZhangJianqun Ma Research 28 December 2025 Article: 59 Clustering of cardiometabolic risk factors, physical activity, digital exclusion, and depressive symptoms trajectories in adults aged 50years and older: findings from two prospective cohort studies 50岁及以上成年人心血管代谢风险因素聚集、身体活动、数字排斥及抑郁症状轨迹：两项前瞻性队列研究的发现 Xiaosheng DongJiaqiang XiaoChengchao Zhou Research 28 December 2025 Article: 58 Eligibility of real-world patients for aspirin primary prevention trials in cardiovascular disease 现实中符合心血管疾病阿司匹林一级预防试验资格的患者情况 Michael HolderDaniel R. MoralesBruce Guthrie Research 27 January 2026 Article: 57 Polygenic risk score-guided personalized osteoporosis screening: a population-based study 基于多基因风险评分指导的个性化骨质疏松症筛查：一项基于人群的研究 Dongxue WangWen SunJianguang Ji Research 14 January 2026 Article: 56 Urea cycle modulation by combined SGLT2 inhibitors and metformin SGLT2抑制剂与二甲双胍联合用药对尿素循环的调节作用 Makoto HaradaJonathan AdamRui Wang-Sattler Research 08 January 2026 Article: 55 Safety and neuroprotective efficacy of the VCP inhibitor ML240 in large-animal and human retinal explants: a preclinical ex vivo study VCP抑制剂ML240在大型动物及人视网膜外植体中的安全性和神经保护功效：一项临床前离体研究 Ana-Cristina Almansa-GarcíaAngela ArmentoBlanca Arango-Gonzalez Research 10 January 2026 Article: 54 Impact of an eight-week isocaloric vegan dietary intervention on hemogram parameters and lymphocyte subsets: a randomized-controlled trial 为期八周的等热量纯素饮食干预对血细胞参数和淋巴细胞亚群的影响：一项随机对照试验 Julian HerterFrieda StübingMaximilian Andreas Storz Research 10 January 2026 Article: 53 Association between psychosocial factors and adverse effects of light-to-moderate ambient heat in patients with chronic diseases: results of the prospective cohort study CLIMATE-II 社会心理因素与轻至中度环境热对慢性病患者不良影响之间的关联：前瞻性队列研究CLIMATE-II的结果 Ingmar SchäferValentina PauckeDagmar Lühmann Research 15 January 2026 Article: 52 Part of 1 collection:Climate change and human health 所属专题：气候变化与人类健康 Maternal infection during pregnancy and the risk of childhood cancer: a systematic review and meta-analysis 孕期母体感染与儿童期患癌风险：一项系统综述和荟萃分析 Loviisa MulanjeLara Kim BrackmannRajini Nagrani Research 14 January 2026 Article: 51 Part of 1 collection:Carcinogens and human health 所属专题：致癌物与人类健康 Supplementary biomarker testing in molecular tumor boards increases actionable therapy recommendations: a prospective real-world study of 658 patients 分子肿瘤委员会中的补充生物标志物检测增加了可采取治疗措施的建议：一项针对658例患者的前瞻性真实世界研究 Alexander ScheiterSimon MellinKirsten Utpatel Research 14 January 2026 Article: 50 Computer assisted verbal autopsy: comparing large language models to physicians for assigning causes to 6939 deaths in Sierra Leone from 2019–2022 计算机辅助口头尸检：对比大型语言模型与医生对塞拉利昂2019 - 2022年6939例死亡原因的判定 Richard WenAnteneh Tesfaye AssalifRashid Ansumana Research 24 December 2025 Article: 49 Loss of Y chromosome and its implications in male amyotrophic lateral sclerosis: insights from the UK Biobank Y染色体缺失及其在男性肌萎缩侧索硬化症中的影响：来自英国生物银行的研究见解 Wei-Ming SuQing-Qing DuanYong-Ping Chen Research 24 December 2025 Article: 48 Part of 1 collection:Amyotrophic lateral sclerosis: latest advances and novel updates 所属专题：肌萎缩侧索硬化症：最新进展与新动态 Prenatal lipopolysaccharide exposure programs the early-life lung development by modulating mesenchymal fibroblasts in a time- and dose-dependent manner 产前脂多糖暴露通过调节间充质成纤维细胞以时间和剂量依赖性方式来影响早期肺部发育 Ying DongStefan HadzicSaverio Bellusci Research 22 December 2025 Article: 47 Life course socioeconomic trajectories and chronic disease risk in later life among 30,055 older adults across 27 European countries (the SHARE study) 27个欧洲国家30,055名老年人生命历程中的社会经济轨迹与晚年慢性疾病风险（基于SHARE研究） Taymara C. AbreuJoline W. J. BeulensJoreintje D. Mackenbach Research 20 December 2025 Article: 46 Part of 1 collection:Healthy aging and longevity: the role of preventive medicine and risk factors 所属专题：健康老龄化与长寿：预防医学与风险因素的作用 Validation of a novel patient-reported measure of the burden of digital care in diabetes 由糖尿病患者报告的数字化护理负担新型测评工具的验证 Misk Al ZahidyJennifer L. RidgewayVictor M. Montori Research 20 December 2025 Article: 45 Determinants of long-term SARS-CoV-2 immune responses in asymptomatic-to-moderate COVID-19 patients in sub-Saharan Africa 撒哈拉以南非洲地区无症状至中度 COVID-19 患者长期 SARS-CoV-2 免疫应答的决定因素 Víctor L. de RiojaOdin GoovaertsGemma Moncunill Research 14 January 2026 Article: 44 Camrelizumab and apatinib in Chinese patients with locally advanced or metastatic radioiodine-refractory differentiated thyroid cancer: an exploratory open-label, single-arm trial 卡瑞利珠单抗联合阿帕替尼治疗中国局灶性晚期或转移性放射性碘难治性分化型甲状腺癌：一项探索性开放标签单臂试验 Xin ZhangDi SunYansong Lin Research 18 December 2025 Article: 43 Urinary polyphenol signature of the Mediterranean diet is associated with lower cardiovascular disease risk: the PREDIMED trial 地中海饮食的尿液多酚特征与心血管疾病风险较低相关：PREDIMED 试验 Inés Domínguez-LópezPolina GalkinaRosa M. Lamuela-Raventós Research 18 December 2025 Article: 42 Meta-analysis and external validation of a risk model for gastrointestinal bleeding after percutaneous coronary intervention 经皮冠状动脉介入治疗后胃肠道出血风险模型的荟萃分析及外部验证 Hualong MaCong PengQiaohong Yang Research 18 December 2025 Article: 41 DNA methylation-based clocks, tobacco smoking, and lung cancer risk 基于DNA甲基化的生物钟、烟草吸烟与肺癌风险 Ricardo Cortez Cardoso PenhaJustina Ucheojor OnwukaMattias Johansson Research 17 December 2025 Article: 40 Part of 1 collection:Carcinogens and human health 所属专题：致癌物与人类健康 Risk and protective factors associated with brain grey matter patterns in a population-based cohort of cognitively unimpaired 70years old 认知功能未受损的70岁老年人基于人口的队列中，与大脑灰质模式相关的风险和保护因素 Giulia LorenzonAnna MarsegliaEric Westman Research 17 December 2025 Article: 39 Part of 1 collection:Healthy aging and longevity: the role of preventive medicine and risk factors 所属专题：健康老龄化与长寿：预防医学和风险因素的作用 Street view-derived city built environment and vulnerability to temperature extremes: a nationally representative population-based cohort study 基于街景图像的城市建成环境与极端温度脆弱性：一项全国代表性人口队列研究 Wanzhou WangChao YangLuxia Zhang Research 16 December 2025 Article: 38 Part of 1 collection:Climate change and human health 所属专题：气候变化与人类健康 A booster dose of an inactivated SARS-CoV-2 vaccine targeting virus variants sustains protective humoral and cellular immunity 针对病毒变异株的灭活严重急性呼吸系统综合征冠状病毒2（SARS-CoV-2）疫苗加强针可维持保护性体液免疫和细胞免疫 Constanza MéndezLinmar Rodríguez-GuilarteSusan M. Bueno Research 15 December 2025 Article: 37 Dapagliflozin alleviates sunitinib-induced cardiotoxicity through AMPKα-PPARα axis and enhances the sensitivity of renal cell carcinoma to sunitinib 达格列净通过AMPKα-PPARα轴减轻舒尼替尼诱导的心脏毒性，并增强肾细胞癌对舒尼替尼的敏感性 Shi-yu HuangMin HuLei Wang Research 15 December 2025 Article: 36 Network dysfunction underlying verbal fluency deficits in newly diagnosed epilepsy: a resting-state fMRI functional connectivity study 新诊断癫痫患者言语流畅性缺陷背后的网络功能障碍：一项静息态功能磁共振成像功能连接研究 Fangzhou LiuPing JiangLing Liu Research 13 December 2025 Article: 35 Part of 1 collection:Epilepsy: Seizure prevention, treatment, and epidemiology 所属专题：癫痫：癫痫发作的预防、治疗和流行病学 Long-term quality of life in non-epithelial ovarian cancer survivors: TMRG-GINECO-Vivrovaire rare tumors case–control study 基于广西新生儿地中海贫血基因组图谱计划开展的家庭三联体/四联体分析 Coraline DubotIsabelle Ray-CoquardFlorence Joly Research 12 December 2025 Article: 34 Family trios/quartets analysis based on the Newborn Genomic Atlas for Thalassemia project in Guangxi 非上皮性卵巢癌幸存者的长期生活质量：TMRG-GINECO-Vivrovaire罕见肿瘤病例对照研究 Wei WeiChunrong GuiBaoheng Gui Research 12 December 2025 Article: 33 Hyperuricemic persons use more analgesics than normouricemic—is asymptomatic hyperuricemia really asymptomatic? 高尿酸血症患者比血尿酸正常者使用更多镇痛药——无症状性高尿酸血症真的“无症状”吗？ Janis TimsansJenni Emilia KauppiMarkku Kauppi Research 11 December 2025 Article: 32 Social isolation, loneliness, and multi-system medical conditions: phenome-wide association and disease-trajectory analyses 社会孤立、孤独感与多系统医学病症：全表型组关联分析及疾病轨迹研究 Tingshan DuanZhi CaoChenjie Xu Research 10 December 2025 Article: 31 Digital marketing techniques within online food retail platforms: a scoping review 在线食品零售平台中的数字营销技巧：一项范围综述 Adyya GuptaCatherine E. HugginsAnna Peeters Research 10 December 2025 Article: 30 Dramatic increases in redundant publications in the Generative AI era 生成式人工智能时代冗余出版物数量急剧增加 Danny MaupinTulsi SuchakMatt Spick Research 09 December 2025 Article: 29 Cardiovascular risk burden and guideline-recommended lipid and blood pressure goals in an Italian Cohort: findings from the HUMTELEMED web-based platform 意大利人群心血管风险负担及指南推荐的血脂和血压目标达成情况：HUMTELEMED网络平台的发现 Matteo LandolfoAlessandro GezziRiccardo Sarzani Research 09 December 2025 Article: 28 Part of 1 collection:Healthy aging and longevity: the role of preventive medicine and risk factors 所属专题：健康老龄化与长寿：预防医学及风险因素的作用 Efficacy and safety of Janus kinase 1/2 inhibitor KL130008 in active rheumatoid arthritis: a randomized, double-blind, placebo-controlled phase II trial Janus激酶1/2抑制剂KL130008治疗活动性类风湿关节炎的有效性和安全性：一项随机、双盲、安慰剂对照的II期试验 Yue ChengHonghu TangYi Liu Research 09 December 2025 Article: 27 Risk stratification for endometrial cancer: independent and joint effects of polygenic risk score and body mass index in 129,829 UK Biobank participants 子宫内膜癌的风险分层：英国生物银行129,829名参与者中多基因风险评分和体重指数的独立及联合效应 Xuemin WangLaure DossusTracy A. O’Mara Research 10 February 2026 Article: 26 Maternal probiotics intake during pregnancy and exclusive colostrum breastfeeding are associated with a reduced risk of neonatal jaundice 孕期摄入益生菌及纯母乳喂养初乳与新生儿黄疸风险降低相关 Bekalu Kassie AlemuChi Chiu WangYao Wang Research 08 December 2025 Article: 25 Hepatic steatosis in postmenopausal women is characterized by distinct serum extracellular vesicle proteomic signatures 绝经后女性脂肪肝具有独特的血清细胞外囊泡蛋白质组特征 Patrick PirrotteBrooke LovellJohanna K. DiStefano Research 07 December 2025 Article: 24 Global, regional, and national temporal trends in the prevalence of environmental heat and cold exposure among older adults aged 60–99 years, 1990–2021: an age-period-cohort analysis based on the Global Burden of Disease Study 2021 基于2021年全球疾病负担研究，对1990 - 2021年60 - 99岁老年人环境热暴露和冷暴露患病率的全球、区域和国家时间趋势分析：一项基于年龄 - 时期 - 队列模型的分析 Shenghao XuJing WangJianlin Xiao Research 07 December 2025 Article: 23 Part of 1 collection:Climate change and human health 所属专题：气候变化与人类健康 Cyclophilin B deficiency enhances myocardial energy synthesis and protects against heart failure in preclinical models 亲环蛋白B缺乏可增强心肌能量合成，并在临床前模型中预防心力衰竭 Xiao ZongXierenayi TudiRong Tao Research 07 December 2025 Article: 22 Part of 1 collection:Cardiomyopathy and cardiac arrhythmias 所属专题：心肌病与心律失常 Normobaric hyperoxia for intracerebral hemorrhage: a randomized clinical trial 常压高氧治疗脑出血：一项随机临床试验 Zhiying ChenJiayue DingRan Meng Research 07 December 2025 Article: 21 Nationwide trends in pediatric hospitalizations for eating disorders in France between 2013 and 2022: a retrospective study using the national health insurance database Emmanuelle LogeaisFrançoise TroussierLilia Khendek 2013 - 2022年法国因进食障碍住院的儿科患者全国趋势：一项使用国家健康保险数据库的回顾性研究 Research 05 December 2025 Article: 20 Part of 1 collection:Child and adolescent psychiatry 所属专题：儿童与青少年精神病学 Self-management of vaginal pessaries for pelvic organ prolapse: multi-method process evaluation, linked to the TOPSY randomised controlled trial 盆腔器官脱垂阴道子宫托自我管理：与TOPSY随机对照试验相关的多方法过程评估 Carol BuggeMelanie Dembinskythe TOPSY team Research 05 December 2025 Article: 19 Large-scale plasma proteomics reveals bidirectional associations between sleep patterns and inflammatory bowel disease: a prospective cohort study 大规模血浆蛋白质组学研究揭示睡眠模式与炎症性肠病之间的双向关联：一项前瞻性队列研究 Kaixing LeYaru LiuZhigang Liu Research 05 December 2025 Article: 18 Association between socioeconomic status and diabetic retinopathy in individuals with type 1 diabetes: a systematic review and meta-analysis 1型糖尿病患者社会经济地位与糖尿病视网膜病变之间的关联：一项系统综述和荟萃分析 Fernando Sebastian-VallesSergio Núñez de Arenas-ArroyoJulia Martínez-Alfonso Review 05 December 2025 Article: 17 Patterns of disparity: age and socioeconomic differences in women’s smoking and quitting outcomes in Great Britain 差异模式：英国女性吸烟及戒烟结局的年龄和社会经济差异 Sarah E. JacksonCaitlin NotleySharon Cox Research 10 February 2026 Article: 16 Genomic pathogenic alterations in the SWI/SNF complex compromise the outcomes of immunotherapy in Chinese patients with KRAS-mutant NSCLC by downregulating STING expression SWI/SNF复合体中的基因组致病性改变通过下调STING表达损害中国KRAS突变型非小细胞肺癌患者的免疫治疗效果 Lingling GaoJie JiangXuchao Zhang Research 03 December 2025 Article: 15 Residential radon exposure and incident myocardial infarction and stroke risks in the All of Us Research Program “我们所有人”研究项目中住宅氡暴露与心肌梗死和卒中发病风险的关系 Jiajun LuoZhihao JinBriseis Aschebrook-Kilfoy Research 03 December 2025 Article: 14 Mediterranean-Dietary Approaches to Stop Hypertension Intervention for Neurodegenerative Delay (MIND) diet and cardiovascular disease and arrhythmias 用于延缓神经退行性变的地中海饮食-终止高血压膳食疗法干预措施（MIND）与心血管疾病及心律失常的关系 Pei QinFrederick K. HoJill P. Pell Research02 December 2025 Article: 13 Part of 1 collection: Cardiomyopathy and cardiac arrhythmias 所属专题：心肌病与心律失常 KoMethylNet: a novel epigenetic clock based on neural network analysis of DNA methylation data and epigenetic age acceleration in a Korean population KoMethylNet：基于神经网络分析DNA甲基化数据的新型表观遗传时钟及韩国人群的表观遗传年龄加速研究 Dabin YunKwangyeon OhNan Song Research 03 December 2025 Article: 12 Part of 1 collection: Healthy aging and longevity: the role of preventive medicine and risk factors 所属专题：健康老龄化与长寿：预防医学及风险因素的作用 Sleep and physical activity trade-offs and dementia risk: a prospective cohort study in UK Biobank participants 睡眠与体力活动的权衡与痴呆风险：英国生物样本库参与者的一项前瞻性队列研究 Stephanie YiallourouLachlan CribbMatthew P. Pase Research 03 December 2025 Article: 11 Part of 1 collection: Sleep and mental health 所属专题：睡眠与心理健康 Integration of gut microbiome and lipid metabolism reveals the anti-cancer effects of pentadecanoic acid on bladder cancer 肠道微生物组与脂质代谢的整合揭示十五烷酸对膀胱癌的抗癌作用 Ya-Ting ChenJing SuiEvan Yi-Wen Yu Research 03 December 2025 Article: 10 Part of 1 collection: Gut microbiota: New treatments of human disease 所属专题：肠道微生物群：人类疾病的新疗法 A social determinants-based county-level cardiovascular mortality index to identify high-risk counties in the USA 基于社会决定因素的美国县级心血管疾病死亡率指数，用于识别高风险县 Anqi ZhuBibhas ChakrabortyTazeen H. Jafar Research 02 December 2025 Article: 9 HIV infection and immunosenescence: challenges and intervention strategies HIV感染与免疫衰老：挑战与干预策略 Junyan JinQianqian XuBin Su Review 02 December 2025 Article: 8 Part of 1 collection: Healthy aging and longevity: the role of preventive medicine and risk factors 所属专题：健康老龄化与长寿：预防医学与风险因素的作用 Machine learning-based prediction of short-term outcomes in aneurysmal subarachnoid hemorrhage: a multicenter study integrating clinical and inflammatory indicators 基于机器学习的动脉瘤性蛛网膜下腔出血短期预后预测：一项整合临床与炎症指标的多中心研究 Weichong ZhouCong PengHui Shi Research 29 November 2025 Article: 7 The effectiveness and safety of a mobile application-based self-regulation intervention to support weight loss among adults living with obesity: a large-scale pragmatic randomised controlled trial 基于移动应用程序的自我调节干预措施在支持肥胖成年人减重方面的有效性与安全性：一项大规模实用性随机对照试验 Paul DoodyGina M. WrenPaul Aveyard Research 29 November 2025 Article: 6 Part of 1 collection: Weight loss interventions and their health impacts 所属专题：减重干预措施及其对健康的影响 Adiposity and the first-onset of diagnosed mental illnesses: a population-based cohort study of 10 million UK adults 脂肪堆积（肥胖程度）与首次确诊精神疾病的关系：一项基于1000万英国成年人的队列研究 Xue DongPaul AveyardMin Gao Research 29 November 2025 Article: 5 Efficacy of standard care versus acoustic therapy on acute tinnitus in idiopathic sudden sensorineural hearing loss: a randomized controlled trial 标准治疗与声治疗对特发性突发性感音神经性听力损失伴急性耳鸣的疗效对比：一项随机对照试验 Xinyi WangKe QiuYu Zhao Research 28 November 2025 Article: 4 Trends and socio-economic inequalities in overweight- and obesity-related premature cardiovascular disease mortality in Australia 澳大利亚超重与肥胖相关过早心血管疾病死亡的趋势及社会经济不平等状况 Tim Adair Research 29 January 2026 Article: 3 Assessing the impact of maternal blood pressure during pregnancy on perinatal health: a wide-angled Mendelian randomization study 评估孕期母体血压对围产期健康的影响：一项广角孟德尔随机化研究 Fernanda Morales-BersteinAna Gonçalves-SoaresMaria-Carolina Borges Research 14 January 2026 Article: 2 Part of 1 collection:Diagnosis and management of gestational diabetes 所属专题：妊娠期糖尿病的诊断与管理 Prevalence of use and interest in using glucagon-like peptide-1 receptor agonists for weight loss: a population study in Great Britain 胰高血糖素样肽-1受体激动剂用于减重的使用率及使用意愿：一项针对英国人群的研究 Sarah E. JacksonJamie BrownLion Shahab Research 08 January 2026 Article: 1 Part of 1 collection: Weight loss interventions and their health impacts 所属专题：减重干预措施及其对健康的影响

临床1期

2026-04-01

·ioncology

SNX10缺陷通过改变HER2胞内运输导致HER2阳性乳腺癌对抗HER2 ADC药物敏感性降低

点击上方蓝字关注我们编者按：ADC药物是乳腺癌治疗中快速发展的治疗策略，抗HER2的ADC药物在HER2阳性乳腺癌中显示出显著疗效，但部分患者仍会出现疾病进展。近期，《美国国家科学院院刊》发表了题为《SNX10 deficiency impairs sensitivity to anti-HER2 antibody-drug conjugates via altering HER2 trafficking in HER2-positive breast cancer》的研究[1]，通过分析患者来源类器官模型、I-SPY2临床试验及耐药细胞株的转录组数据，揭示了SNX10缺陷导致抗HER2ADC药物耐药的关键机制。研究背景乳腺癌是一种异质性疾病，可分为不同分子亚型。HER2是有效的癌症治疗靶点，约20%的乳腺癌呈HER2阳性[2]。靶向HER2治疗的临床应用显著改善了HER2阳性乳腺癌的临床结局。ADC药物作为一种靶向治疗，通过连接子将细胞毒性载荷与单克隆抗体的选择性相结合，在HER2阳性乳腺癌中显示出优异疗效[3]。目前获批用于HER2阳性乳腺癌的ADC药物如T-Dxd和T-DM1已取得巨大成功[4-6]。在DESTINY-Breast 03试验中，接受T-Dxd治疗的晚期HER2阳性乳腺癌患者较T-DM1组显示出显著获益[7]。尽管临床疗效显著，部分患者在ADC药物治疗下仍出现疾病进展，这要求关注ADC药物耐药机制的研究。探索ADC药物耐药机制可为阐明其作用机制提供见解，并促进预测性生物标志物的开发以改善患者选择。本研究通过分析I-SPY2试验和患者来源类器官队列的RNA测序数据，探索抗HER2ADC药物的耐药机制，发现异常HER2细胞内运输是潜在耐药机制之一，并鉴定出囊泡运输相关基因分选连接蛋白10在其中发挥关键作用。研究方法为探索抗HER2ADC药物的耐药机制，研究者分析了不同HER2阳性乳腺癌模型的RNA测序数据。利用I-SPY2试验的测序数据探索T-DM1耐药机制，将未达病理学完全缓解的患者视为“耐药”，达病理学完全缓解者视为“敏感”。由于缺乏含T-Dxd反应信息的已发表RNA测序数据，研究者使用患者来源类器官进行药物敏感性筛选，并基于HER2扩增的SKBR3细胞构建了T-Dxd耐药细胞株。患者来源类器官成功从9例未经治疗的激素受体阴性、HER2阳性乳腺癌样本中建立。根据对T-Dxd的不同敏感性，3例被分类为敏感，4例被分类为耐药。这些类器官对T-DM1也表现出相似敏感性。耐药类器官仍对高浓度抗HER2ADC药物有反应，代表一组敏感性较低的反应者。SKBR3-TR是对T-Dxd耐药但非完全不敏感的细胞株。基于ADC药物由抗体、连接子和载荷组成的特点，其耐药机制主要包括三个方面：抗原-抗体结合水平低、连接子溶酶体加工不足、以及对细胞毒性载荷的耐药（如P-糖蛋白过表达）。连接子裂解加工可受ADC药物胞内运输和溶酶体功能影响。据此，研究者将通路分为四类：1）HER2相关通路；2）胞内运输相关通路；3）溶酶体相关通路；4）载荷相关通路。通过基因集变异分析和基因集富集分析，发现耐药组表现出异常HER2相关通路和胞内运输相关通路水平。研究结果 1. SNX10敲低介导抗HER2ADC药物耐药为鉴定介导抗HER2ADC药物耐药的失调基因，研究者分析了属于囊泡相关通路的差异表达基因。在患者来源类器官队列耐药组和SKBR3-TR细胞的差异表达基因中，25个共有差异表达基因与囊泡运输相关，其中SAA1和SNX10在三个数据集的耐药组中分别上调和下调。SNX10显示出更大倍变化，因此被选为研究焦点。SNX10在患者来源类器官队列耐药组和SKBR3-TR细胞中显著下调，这一相关性在I-SPY2试验T-DM1/帕妥珠单抗组中也得到验证。图1. 异常HER2囊泡运输介导抗HER2ADC药物耐药为确定SNX10在抗HER2ADC药物中的作用，研究者敲低HER2阳性细胞系中SNX10表达，并在SKBR3-TR中过表达SNX10。结果显示，SNX10水平降低可显著抑制SKBR3和HCC1954细胞对T-Dxd和T-DM1的敏感性，而SNX10过表达可使SKBR3-TR对两种药物的敏感性恢复至与亲本细胞相当水平。集落形成实验也显示，SNX10敲低增加了SKBR3细胞在药物处理下的集落形成能力。细胞活力实验表明，SNX10敲低可抑制T-Dxd和T-DM1的生长抑制作用。在JIMT-1细胞异种移植实验中，对照组的肿瘤对T-DM1和T-Dxd反应良好，表现为药物处理后肿瘤体积减小。而SNX10敲低组肿瘤体积无明显变化，对两种药物敏感性降低。 SNX10缺陷细胞对其他HER2靶向药物（曲妥珠单抗、tucatinib、neratinib）的敏感性也显著降低，提示SNX10缺陷可能通过下调HER2水平导致对多种抗HER2药物的交叉耐药。而SNX10缺陷细胞对细胞毒性载荷DXd和DM1的敏感性无改变，表明细胞毒性载荷可能不参与SNX10诱导的耐药。 2. SNX10缺乏促进HER2溶酶体降解 SNX10敲低下HER2蛋白水平降低而ERBB2 mRNA水平不变，SKBR3-TR细胞中也观察到类似趋势，过表达SNX10可恢复HER2蛋白水平。放线菌酮追踪实验显示，SNX10缺陷通过加速HER2蛋白降解降低其水平，而过表达SNX10抑制HER2降解。溶酶体抑制剂可逆转SNX10缺陷诱导的HER2降解，而蛋白酶体抑制剂无效，表明SNX10缺陷促进HER2溶酶体降解。 3. SNX10通过破坏HER2再循环调节细胞表面HER2水平流式细胞术显示，SNX10缺陷导致SKBR3、HCC1954和JIMT-1细胞表面HER2蛋白水平显著降低。免疫荧光显示，SNX10敲低细胞中细胞内HER2比例显著增加，而SKBR3-TR中恢复SNX10水平可防止HER2胞内积聚。 SNX10存在于早期内体和再循环内体中，但不存在于晚期内体。内化实验显示，SNX10缺陷细胞在120分钟时内吞HER2水平与对照细胞相似，表明SNX10缺乏不影响HER2内吞量。而再循环实验显示，SNX10敲低细胞HER2再循环率显著减弱。免疫荧光显示，SNX10下调时HER2与溶酶体共定位增加，与再循环内体共定位减少。 4. SNX10缺陷下调内体RAB11A SNX10敲低细胞中RAB11A荧光强度减弱，其转录和蛋白水平下调。RAB11A低水平也可导致SKBR3和HCC1954细胞对抗HER2ADC药物耐药。过表达RAB11A可逆转SNX10敲低引起的HER2蛋白水平下调、细胞表面HER2减少及胞内异常积聚，并恢复缺陷的HER2囊泡再循环。RAB11A过表达可有效使SNX10缺陷的SKBR3和HCC1954细胞对两种药物重新敏感，也可恢复SKBR3-TR细胞对抗HER2ADC药物的敏感性。 5. SNX10通过STAT1调节RAB11A 免疫沉淀联合质谱分析发现STAT1为SNX10相互作用蛋白。外源性免疫共沉淀证实SNX10可与STAT1相互作用，免疫荧光显示两者在胞质部分共定位。SNX10的PX结构域对此相互作用至关重要。 JASPAR数据库预测显示STAT1可能结合RAB11A启动子区，染色质免疫沉淀-qPCR证实RAB11A启动子区含有STAT1结合位点，SNX10敲低降低STAT1与RAB11A启动子区的结合。STAT1抑制剂处理可抑制RAB11A mRNA水平并降低药物敏感性。耐药细胞中p-STAT1水平降低，SNX10敲低细胞中p-STAT1水平明显下降，过表达SNX10及含PX结构域的截短体可恢复p-STAT1及RAB11A水平。患者来源类器官队列中，耐药组SNX10、RAB11A和p-STAT1的H评分显著低于敏感组。讨论与结论本研究发现异常HER2通路和囊泡相关通路是抗HER2ADC药物的部分耐药机制，并鉴定出囊泡运输相关基因SNX10在抗HER2ADC药物敏感性中起关键作用。SNX10缺乏抑制HER2再循环，同时促进HER2进入溶酶体降解。SNX10与转录因子STAT1直接相互作用，后者结合RAB11A启动子区并调节其转录。因此，SNX10低水平下调RAB11A，导致细胞表面HER2水平降低，引起抗HER2ADC药物耐药。抗HER2ADC药物的耐药机制复杂。本研究聚焦于SNX10缺陷如何影响细胞HER2水平进而导致耐药。但患者来源类器官队列的基因本体富集分析中观察到细胞增殖通路的显著富集，提示两组间可能存在增殖速率差异。本研究已证实SNX10缺陷诱导的耐药与增殖速率或化疗耐药无关。此外，T-Dxd现已广泛用于HER2低表达乳腺癌，本研究提出的耐药机制是否适用于HER2低表达背景仍需进一步研究。靶向药物若靶点不可及则无法有效发挥作用。多项研究提示HER2水平对抗HER2ADC药物具有重要预测价值。根据本研究，SNX10缺陷的HER2阳性乳腺癌细胞表面HER2水平较低，导致对抗HER2ADC药物的内在耐药。此外，治疗后HER2染色强度下降在多研究中被观察到，HER2丢失可能是HER2靶向治疗获得性耐药的潜在机制。本研究中SNX10缺陷在诱导的耐药细胞株中被发现，可部分代表肿瘤细胞在抗HER2治疗下的动态变化，提示SNX10缺陷也可能作为治疗后HER2丢失的潜在机制，从而导致抗HER2ADC药物获得性耐药。胞内膜运输对HER2下游信号调控至关重要，其中HER2内体运输仍存争议。既往研究表明HER2或因其内化抵抗或高效再循环而滞留于质膜。受体运输调节药物递送及细胞表面水平。与传统单克隆抗体不同，ADC药物依赖有效的细胞内化和溶酶体降解以实现细胞毒性载荷的有效递送。囊泡再循环与溶酶体运输间的平衡对ADC药物活性也有相反影响。本研究中，SNX10缺陷情况下HER2再循环减少和溶酶体降解增加共同降低抗HER2ADC药物敏感性。本研究优势在于：整合了临床试验、患者来源类器官模型和耐药细胞系的多源转录组数据，系统筛选抗HER2ADC药物耐药相关基因；通过体内外实验验证SNX10功能，并深入阐明其通过STAT1-RAB11A轴调控HER2运输的分子机制；鉴定出SNX10作为潜在生物标志物，为临床预测抗HER2ADC药物疗效提供新思路。研究局限性包括：SNX10对抗HER2ADC药物敏感性的影响仍需在更大规模队列中验证；SNX10在囊泡分选中的具体作用机制及其是否影响其他ADC药物受体、导致非HER2靶向ADC药物交叉耐药需深入研究。综上，本研究发现SNX10通过调节HER2再循环影响其亚细胞分布，SNX10缺陷导致RAB11A下调、细胞表面HER2减少，从而引起抗HER2ADC药物耐药。HER2内体运输机制的阐明为深入理解HER2阳性乳腺癌靶向治疗耐药机制提供了新视角。 ▌参考文献： [1]. Yu- Fei Chena,Qing- Hua Zhanga, Zhong- Wei Zhang et al.SNX10 deficiency impairs sensitivity to anti- HER2 antibody–drug conjugates via altering HER2 trafficking in HER2- positive breast cancer.PNAS 2025 Vol. 122 No. 16 e2417586122 [2]. N. Harbeck et al., Breast cancer. Nat. Rev. Dis. Primers 5, 66 (2019). [3]. C. H. Chau, P. S. Steeg, W. D. Figg, Antibody- drug conjugates for cancer. Lancet 394, 793–804 (2019). [4]. V. Diéras et al., Trastuzumab emtansine versus capecitabine plus lapatinib in patients with previously treated HER2- positive advanced breast cancer (EMILIA): A descriptive analysis of final overall survival results from a randomised, open- label, phase 3 trial. Lancet Oncol. 18, 732–742 (2017). [5]. G. von Minckwitz et al., Trastuzumab emtansine for residual invasive HER2- positive breast cancer. N. Engl. J. Med. 380, 617–628 (2019). [6]. F. Andre et al., Trastuzumab deruxtecan versus treatment of physician’s choice in patients with HER2- positive metastatic breast cancer (DESTINY- Breast02): A randomised, open- label, multicentre, phase 3 trial. Lancet 401, 1773–1785 (2023). [7]. J. Cortés et al., Trastuzumab deruxtecan versus trastuzumab emtansine for breast cancer. N. Engl. J. Med. 386, 1143–1154 (2022). CN-20260331-00004 有效期:2028年3月31日（来源：《肿瘤瞭望》编辑部）声明凡署名原创的文章版权属《肿瘤瞭望》所有，欢迎分享、转载。本文仅供医疗卫生专业人士了解最新医药资讯参考使用，不代表本平台观点。该等信息不能以任何方式取代专业的医疗指导，也不应被视为诊疗建议，如果该信息被用于资讯以外的目的，本站及作者不承担相关责任。

100 项与卡培他滨相关的药物交易

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外链

KEGG	Wiki	ATC	Drug Bank
D01223	卡培他滨	L01BC06	DB01101

研发状态

批准上市

10 条最早获批的记录,

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适应症	国家/地区	公司	日期
胃食管交界处癌	美国	CHEPLAPHARM Arzneimittel GmbH	2022-12-14
胰腺癌	美国	CHEPLAPHARM Arzneimittel GmbH	2022-12-14
直肠癌	日本	Chugai Pharmaceutical Co., Ltd.	2016-09-19
食管癌	澳大利亚	Dr. Reddy's Laboratories (Australia) Pty Ltd.	2013-06-24
局部晚期乳腺癌	欧盟	Accord Healthcare SLU	2012-04-20
局部晚期乳腺癌	欧盟	KRKA dd	2012-04-20
局部晚期乳腺癌	欧盟	Teva Pharmaceuticals Europe BV	2012-04-20
局部晚期乳腺癌	冰岛	Accord Healthcare SLU	2012-04-20
局部晚期乳腺癌	冰岛	KRKA dd	2012-04-20
局部晚期乳腺癌	冰岛	Teva Pharmaceuticals Europe BV	2012-04-20
局部晚期乳腺癌	列支敦士登	KRKA dd	2012-04-20
局部晚期乳腺癌	列支敦士登	Teva Pharmaceuticals Europe BV	2012-04-20
局部晚期乳腺癌	列支敦士登	Accord Healthcare SLU	2012-04-20
局部晚期乳腺癌	挪威	Teva Pharmaceuticals Europe BV	2012-04-20
局部晚期乳腺癌	挪威	KRKA dd	2012-04-20
局部晚期乳腺癌	挪威	Accord Healthcare SLU	2012-04-20
胃癌	中国	Chugai Pharmaceutical Co., Ltd.	2008-10-17
复发性乳腺癌	日本	CHEPLAPHARM Arzneimittel GmbH	2007-12-12
结肠癌	日本	Chugai Pharmaceutical Co., Ltd.	2003-04-30
晚期胃癌	欧盟	CHEPLAPHARM Arzneimittel GmbH	2001-02-02

未上市

10 条进展最快的记录,

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适应症	最高研发状态	国家/地区	公司	日期
ER阳性/HER2阴性乳腺癌	临床3期	法国	UNICANCER	2020-06-11
GRPR阳性/ER阳性/HER2阴性乳腺癌	临床3期	法国	UNICANCER	2020-06-11
肝转移	临床3期	法国	UNICANCER	2020-06-11
转移性胃腺癌	临床3期	美国	Eli Lilly & Co.	2015-01-20
转移性胃腺癌	临床3期	日本	Eli Lilly & Co.	2015-01-20
转移性胃腺癌	临床3期	阿根廷	Eli Lilly & Co.	2015-01-20
转移性胃腺癌	临床3期	比利时	Eli Lilly & Co.	2015-01-20
转移性胃腺癌	临床3期	加拿大	Eli Lilly & Co.	2015-01-20
转移性胃腺癌	临床3期	捷克	Eli Lilly & Co.	2015-01-20
转移性胃腺癌	临床3期	丹麦	Eli Lilly & Co.	2015-01-20

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研究	分期	人群特征	评价人数	分组	结果	评价	发布日期


AACR2026	N/A	三阴性乳腺癌辅助	83	capecitabine (RDI≤66%)	網衊鏇壓艱衊願醖製觸(窪範願簾簾鹹糧淵網襯) = 艱糧齋夢夢獵膚網夢遞積壓窪廠鹹鹹繭觸網鏇 (夢簾築簾艱鏇獵膚糧蓋 ) 更多	积极	2026-04-21
AACR2026	N/A	三阴性乳腺癌辅助	83	capecitabine (RDI>67–92)	網衊鏇壓艱衊願醖製觸(窪範願簾簾鹹糧淵網襯) = 窪壓鬱積鑰糧簾窪願積積壓窪廠鹹鹹繭觸網鏇 (夢簾築簾艱鏇獵膚糧蓋 ) 更多	积极	2026-04-21
NCT04295317 (ACC, Pubmed \| Lancet Gastroenterol Hepatol)	临床2期	肝内胆管癌辅助	65	CamrelizumabCapecitabine + CamrelizumabCapecitabine	壓選範艱鑰鹽淵鬱淵簾(廠製選鏇蓋鑰鹹衊鏇積) = 膚顧憲齋艱鑰觸憲醖鏇夢膚鏇淵醖鹹衊膚窪鹹 (廠夢壓鏇構範觸鏇壓鑰 ) 更多	积极	2026-02-01
NCT04539808 (NeoOPTIMIZE, CTgov)	临床2期	胰腺腺癌 \| 胰腺导管腺癌	42	mFOLFIRINOX+nab-paclitaxel+leucovorin calcium+gemcitabine hydrochloride+potassium+losartan+Oxaliplatin+irinotecan hydrochloride+capecitabine+fluorouracil	齋製鑰膚窪鹽鏇壓簾顧 = 願醖窪積觸觸積選窪艱鏇築範蓋廠遞醖憲遞醖 (壓簾廠獵製簾淵廠膚膚, 範餘獵遞餘鑰鏇鏇選鹽 ~ 選鏇簾觸憲醖鹽窪糧齋) 更多	-	2026-01-14
NCT02931890 (CRITICS-II, ASCO_GI2026 \| NEWS) 人工标引	临床2期	胃癌新辅助	201	docetaxel+oxaliplatin+capecitabine	衊鹽遞觸鹽襯艱鏇範獵(選衊顧築築夢築鏇製憲) = 窪網醖壓憲鹹憲網鑰範齋衊簾夢膚積醖築蓋獵 (醖鏇餘網繭構廠窪積範, 58 ~ 80) 更多	积极	2026-01-08
NCT02931890 (CRITICS-II, ASCO_GI2026 \| NEWS) 人工标引	临床2期	胃癌新辅助	201	docetaxel+oxaliplatin+capecitabine+45Gy/25 fractions + paclitaxel or carboplatin	衊鹽遞觸鹽襯艱鏇範獵(選衊顧築築夢築鏇製憲) = 製蓋鑰網簾衊襯餘顧鹹齋衊簾夢膚積醖築蓋獵 (醖鏇餘網繭構廠窪積範, 75 ~ 94) 更多	积极	2026-01-08
ASCO_GI2026	N/A	结直肠癌辅助	223	CAPOX	簾鏇構鬱夢獵鏇蓋壓淵(積蓋糧壓齋壓選鏇鑰製) = 廠獵蓋遞衊觸餘窪齋鏇膚範糧範構選鏇構醖膚 (糧淵鏇鹹網鹹憲夢獵鑰 ) 更多	不佳	2026-01-08
ASCO_GI2026	N/A	结直肠癌辅助	223	mFOLFOX6	簾鏇構鬱夢獵鏇蓋壓淵(積蓋糧壓齋壓選鏇鑰製) = 艱積餘廠選網艱顧窪積膚範糧範構選鏇構醖膚 (糧淵鏇鹹網鹹憲夢獵鑰 ) 更多	不佳	2026-01-08
ASCO_GI2026	N/A	胃肠道神经内分泌肿瘤	45	Capecitabine + Temozolomide	簾膚繭壓蓋齋簾壓築齋(顧醖鑰餘鑰繭鹽選遞鹹) = 繭廠構壓獵構醖壓醖鹽繭蓋蓋餘廠憲廠廠窪憲 (簾淵顧觸廠顧構獵範鏇, 3.2 ~ NR) 更多	积极	2026-01-08
SABCS2025	N/A	三阴性乳腺癌辅助 ER Negative \| PR Negative \| HER2 Negative	6	Capecitabine	淵襯獵鹹醖廠夢壓觸鬱(醖淵鏇積製憲衊築獵鏇) = The rates of discontinuation varied by cause, with toxicity accounting for 6.0% to 17.0% of discontinuations and disease progression leading to 12.6% to 17.0% of discontinuations. 鏇製選艱艱積積遞蓋顧 (鏇鹹積獵鬱鑰顧構齋網 )	积极	2025-12-12
SABCS2025	N/A	三阴性乳腺癌辅助 ER Negative \| PR Negative \| HER2 Negative	199	Adjuvant capecitabine	糧衊構遞鏇顧積顧繭糧(餘簾襯製鹽構構選夢艱) = Conservative surgery (vs. mastectomy, Not reached vs. 15 months, p=0.043), absence of lymphovascular invasion (vs. presence, p=0.022), and involvement of ypT1-ypT2 lymph nodes (vs. ypT3, 80% vs. 48%, p=0.002) were associated with higher OS. 夢廠憲網窪淵餘網窪鹽 (鹹壓鏇夢顧網壓構齋齋 )	积极	2025-12-11
SABCS2025	N/A	三阴性乳腺癌辅助 BRCA1 mutations	709	Pembrolizumab	製選糧遞網蓋壓膚膚夢(襯範齋糧餘選夢網構顧) = 蓋憲鑰夢製膚齋構網觸憲鬱鏇觸願窪鏇鹹顧積 (鑰鬱糧窪憲顧願構鏇鹽 ) 更多	积极	2025-12-11
SABCS2025	N/A	三阴性乳腺癌辅助 BRCA1 mutations	709	Capecitabine	製選糧遞網蓋壓膚膚夢(襯範齋糧餘選夢網構顧) = 齋齋獵獵醖簾鹽鏇窪廠憲鬱鏇觸願窪鏇鹹顧積 (鑰鬱糧窪憲顧願構鏇鹽 ) 更多	积极	2025-12-11
NCT05292742 (KATHERINE, SABCS2025)	临床2期	HER2阳性乳腺癌辅助 HER2-positive	102	CapecitabinePyrotinibTrastuzumab + CapecitabinePyrotinibTrastuzumab + CapecitabinePyrotinibTrastuzumabe (HER2-positive early breast cancer + Non-pCR)	鬱獵膚觸衊膚窪壓選遞(憲醖獵廠願鏇簾遞鹹衊) = 壓廠範醖齋壓築廠餘鏇膚遞構夢築鏇選積遞網 (膚膚蓋顧餘積鏇積夢艱, 83.3 ~ 95.6) 更多	积极	2025-12-11