在患有非小细胞肺癌的患者中,吸烟史,代谢表型和EGFR突变状态之间的关联
Xiaohui Zhang1, Xiuyu Guo1, Qiaoling Gao1
1Department of Radiology, Ningbo No.2 Hospital, Ningbo, China.
Journal of thoracic disease
|November 16, 2023
概括
吸烟与较低的表皮生长因子受体 (EGFR) 突变和非小细胞肺癌 (NSCLC) 中较高的瘤代谢有关. 这表明吸烟会影响EGFR状态和瘤特征,有助于临床决策.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 遗传学 是一个遗传学.
背景情况:
- 吸烟显著影响代谢表型和表皮生长因子受体 (EGFR) 突变状态.
- 在非小细胞肺癌 (NSCLC) 中,吸烟,代谢表型和EGFR突变状态之间的准确相关性需要进一步阐明.
研究的目的:
- 在NSCLC患者中调查吸烟史,代谢表型和EGFR突变状态之间的关联.
- 为了确定吸烟是否影响瘤代谢活动和EGFR突变患病率.
主要方法:
- 对198名接受18F-FDG PET/CT和EGFR突变检测的NSCLC患者的回顾性分析.
- 评估代谢表型 (pSUVmax,nSUVmax,mSUVmax) 并根据吸烟史对患者进行分类 (从未吸烟者与吸烟者).
- 评估吸烟状态,代谢参数和EGFR突变状态之间的相关性.
主要成果:
- 在吸烟者 (23.4%) 中,EGFR突变的发生率较为低,相比于从未吸烟者 (60.3%) (P<0.001).
- 与EGFR野生型 (WT) 瘤相比,EGFR突变NSCLC表现出较低的原发性瘤SUVmax (pSUVmax) (P<0.001).
- 吸烟者比从未吸烟者显示出更高的psuvmax (p=0.004),增加的psuvmax与累计吸烟剂量相关 (r=0.198,p=0.005).
结论:
- 吸烟可能有助于增加瘤代谢 (pSUVmax) 和减少NSCLC的EGFR突变.
- EGFR突变与低PSUVmax相关,可能指导临床风险分层和治疗选择.
- 这些发现突出了吸烟,瘤代谢和EGFR状态在NSCLC管理中的相互作用.
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