免疫治疗在高血压的高级非小细胞肺癌中的应用:多中心回顾性分析
Jingyi Yuan1, Kaixin Lei1, Quanling Kong1
1West China School of Medicine, West China Hospital, Sichuan University, Chengdu, China.
Frontiers in oncology
|September 29, 2025
概括
高血压与接受免疫治疗的高级非小细胞肺癌 (NSCLC) 患者的生存率较差有关. 非高血压NSCLC患者的死亡风险较低,突出显示高血压是潜在的预后因素.
科学领域:
- 在瘤学瘤学.
- 免疫治疗是一种免疫疗法.
- 心血管并发症 心血管并发症
背景情况:
- 免疫检查点抑制剂 (ICI) 是高级非小细胞肺癌 (NSCLC) 的标准.
- 在接受免疫治疗的NSCLC患者中高血压 (HTN) 的预后作用尚不清楚.
- HTN是已知的癌症风险因素,但它对癌症预后的影响需要进一步调查.
研究的目的:
- 研究在接受免疫治疗的晚期NSCLC患者中高血压和预后之间的关联.
- 为了确定ICI治疗的晚期NSCLC患者的潜在预后因素.
主要方法:
- 对接受免疫治疗的晚期NSCLC患者 (IIIb-IV阶段) 的回顾性分析.
- 使用考克斯比例危险模型和卡普兰-梅尔方法分析的无进展生存率 (PFS) 和整体生存率 (OS).
- 对高血压NSCLC患者的亚组分析.
主要成果:
- 与高血压组相比,非高血压组的整体存活时间 (OS) 显着更长 (P=0.049).
- 在多变量分析中,2的ECOG性能状态与OS有显著的相关性 (HR=0.73,P=0.037).
- PD-1/PD-L1治疗显示与PFS有显著的关联 (HR=1.27,P=0.050).
结论:
- 高血压与接受免疫治疗的晚期NSCLC患者的死亡风险较低有关.
- 在亚组分析期间,高血压NSCLC患者的生存预后与基线指标没有显著相关.
- 高血压可能是接受免疫治疗的高级NSCLC患者的重要预后因素,这需要通过未来的试验进一步验证.
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