乳腺癌新辅助化疗期间的维生素D补充改善了病理完整反应:一项前性随机临床试验
Enver Özkurt1, Cetin Ordu2, Tolga Özmen3
1Department of Surgery, Demiroglu Bilim University, Istanbul, Türkiye.
World journal of surgery
|April 15, 2025
概括
在新辅助全身疗法 (NST) 期间补充维生素D可显著改善乳腺癌患者的病理完整反应 (pCR). 这项研究强调维生素D是改善乳腺癌治疗结果的关键因素.
科学领域:
- 在瘤学瘤学.
- 临床研究 临床研究
- 营养科学 营养科学
背景情况:
- 在新辅助全身疗法 (NST) 后的病理完整反应 (pCR) 是改善乳腺癌存活率的生物标志物.
- 维生素D已经在临床前癌症模型中显示出抗瘤作用.
- 研究维生素D在NST中的作用对于优化乳腺癌治疗至关重要.
研究的目的:
- 预期评估口服维生素D补充剂对接受NST的乳腺癌患者pCR率的影响.
- 在NST期间补充维生素D的背景下,确定影响pCR的因素.
主要方法:
- 一项前性随机临床研究,涉及227名乳腺癌患者.
- 研究小组在NST期间每周接受50,000 IU口服维生素D3补充剂.
- 对照组没有接受维生素D补充剂.
主要成果:
- 多变量分析显示,维生素D摄入量 (OR:2.33),激素受体消极性 (OR:2.22) 和高Ki-67表达 (OR:3.27) 是PCR的显著预测因素.
- 维生素D补充剂独立地与实现pCR的更高可能性有关.
结论:
- 在NST期间口服维生素D补充剂显著提高乳腺癌患者的pCR.
- 这是第一个在NST期间证明维生素D对pCR显著影响的研究.
- 虽然对巴pCR没有统计学意义,但观察到改善的趋势.
关键词:
这是一种ERBB2蛋白质.乳腺新生瘤的发生.食补充剂 食补充剂人类 人类 人类 人类 人类 人类 人类新辅助性全身疗法是一种新辅助性全身疗法.病理学的完整反应.维生素D是维生素D的重要组成部分.更多相关视频
04:04Endobronchial Ultrasound-guided Intratumoral Injection of Cisplatin for the Treatment of Isolated Mediastinal Recurrence of Lung Cancer
Published on: February 12, 2017
10.4K
10:27Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
7.2K
相关概念视频
Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists
154
Neurokinin 1 (NK1) receptors are distributed across the GI tract, vagal afferents, and key CNS regions including the central vomiting center and chemoreceptor trigger zone (CTZ) Chemotherapy agents stimulate enterochromaffin cells in the gastrointestinal (GI) tract to release large amounts of substance P (SP). SP is a neuropeptide released by specific sensory nerves in response to many different stressors, including those in the GI mucosa affected by chemotherapy. SP binds and activates...
154
Cancer Therapies
7.6K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.6K
Cancer Vaccines
345
Cancer treatment vaccines are a rapidly evolving field that offers a promising approach to immunotherapy. Unlike traditional vaccines that prevent diseases, cancer treatment vaccines are designed to treat existing cancers by stimulating the immune system to recognize and attack cancer cells.
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
345
Combination Therapies and Personalized Medicine
4.9K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.9K
Targeted Cancer Therapies
7.5K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.5K
