2020年代肺癌易感性和分子遗传学的基于性别的差异
Berta Mosleh1, Pavla Sarova2, Sonja Zehetmayer3
1Department of Thoracic Surgery, Comprehensive Cancer Center Vienna, Medical University Vienna, Austria.
Heliyon
|February 10, 2025
概括
肺癌显示出基于性别的差异,女性吸烟率较低,向性突变更容易. 这些发现对于在向治疗时代了解肺癌至关重要.
科学领域:
- 在瘤学瘤学.
- 肺部病理学 肺部病理学
- 遗传学 是一个遗传学.
背景情况:
- 肺癌研究经常显示在组织学,突变和治疗反应方面存在基于性别的差异.
- 现有的文献往往是矛盾的,可能不反映肺癌治疗的最新进展.
研究的目的:
- 研究肺癌患者当代基于性别的差异.
- 专注于免疫疗法和分子向药物的时代.
主要方法:
- 在2020-2022年期间诊断出286名肺癌患者的回顾性分析.
- 男性和女性患者之间的人口统计数据,组织学,PD-L1表达,突变,治疗和生存率的比较.
主要成果:
- 女性的吸烟率明显较低 (p=0.005).
- 女性患者表现出更高的向突变率 (52%对30%,p=0.011).
- 在年龄,BMI,肺功能,组织学,PD-L1表达,疾病阶段或存活率方面没有发现显著差异.
结论:
- 白人女性患者可能对肺癌的易感性增加.
- 虽然整体的基因变异是相似的,可操作的驱动突变在女性中更为普遍.
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