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人工智能支持的多态学,用于预测免疫检查点抑制剂反应和抵抗
Xiaodong Wang1, Jing He1, Gouping Ding1
1Department of Oncology, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South University, Zhuzhou, People's Republic of China.
Journal of multidisciplinary healthcare
|March 4, 2026
概括
人工智能 (AI) 和多omics数据集成改善了对癌症免疫检查点抑制剂 (ICI) 反应的预测. 这种方法克服了个性化免疫疗法策略当前生物标志物的局限性.
科学领域:
- 在瘤学瘤学.
- 免疫治疗是一种免疫疗法.
- 生物信息学是一种生物信息学.
- 人工智能的人工智能
背景情况:
- 免疫检查点抑制剂 (ICI) 已经改变了癌症治疗,但面临着适度反应率和常见抗性的挑战.
- 现有的生物标志物,如PD-L1,瘤突变负担和微卫星不稳定性,由于瘤异质性和复杂的免疫相互作用,提供了不完整的预测能力.
研究的目的:
- 审查人工智能 (AI) 驱动的多omics数据集成方面的进展,以预测ICI有效性.
- 探索人工智能如何发现治疗反应的新型决定因素,并指导个性化免疫治疗策略.
主要方法:
- 关于人工智能和多omics (基因组,转录组,蛋白质组,表观组,代谢组,微生物组) 的最新文献的综合.
- 讨论人工智能技术 (例如,SHAP,Grad-CAM) 用于融合异质数据并识别跨层签名.
- 整合放射学,病理学和液体活检数据,用于响应建模和监测.
主要成果:
- 多omics分析揭示了影响ICI疗效的关键因素,包括血统可塑性, stromal重塑,免疫代谢重编程和微生物组调节.
- 人工智能模型可以将常规成像/组织学与分子表型联系起来,在单个生物标志物之外对患者进行分层,并建议组合疗法.
- 人工智能多omics方法可以改善免疫相关的瘤亚型和毒性风险预测.
结论:
- 由人工智能驱动的多omics集成代表了精密免疫疗法的重大进步,提高了治疗反应和患者分层的预测.
- 未来的方向包括整合单细胞/空间多组学,联合学习和生成建模,以提高模型的稳定性,公平性和临床翻译.
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