ÄϹ¬28NGÏàÐÅÆ·ÅÆÁ¦Á¿

ÄϹ¬(28NG¡¤¹ú¼Ê)¹Ù·½ÍøÕ¾-ÏàÐÅÆ·ÅÆÁ¦Á¿
ÎÒÃǵķþÎñ

×÷ΪÖйúµÚÈý·½¼ì²âÓëÈÏÖ¤·þÎñµÄ¿ªÍØÕߺÍÁìÏÈÕߣ¬NG28ÄϹ¬28NGÏàÐÅÆ·ÅÆÁ¦Á¿¼ì²âΪȫÇò¿Í»§Ìṩһվʽ¼ìÑé¡¢²âÊÔ¡¢Ð£×¼¡¢ÈÏÖ¤¼°¼¼Êõ·þÎñ¡£

ÄϹ¬(28NG¡¤¹ú¼Ê)¹Ù·½ÍøÕ¾-ÏàÐÅÆ·ÅÆÁ¦Á¿
ÐÐÒµ½â¾ö·½°¸

·þÎñÄÜÁ¦ÒÑÈ«ÃæÁýÕÖµ½·ÄÖ¯·þ×°¼°Ð¬°ü¡¢Ó¤Í¯Íæ¾ß¼°¼Ò¾ÓÉú»î¡¢µç×ÓµçÆ÷¡¢Ò½Ñ§½¡¿µ¡¢Ê³Æ·¼°Å©²úÎï……µÈÐÐÒµµÄ¹©Ó¦Á´ÉÏÏÂÓΡ£

ÄϹ¬(28NG¡¤¹ú¼Ê)¹Ù·½ÍøÕ¾-ÏàÐÅÆ·ÅÆÁ¦Á¿
ÌØÉ«·þÎñ

È«Ãæ±£ÕÏÆ·ÖÊÓëÄþ¾²£¬Íƶ¯ºÏ¹æÓ봴У¬ÕÃÏÔÆ·ÅƾºÕùÁ¦£¬ÊµÏÖ¸ü¸ßÖÊÁ¿¡¢¸ü½¡¿µ¡¢¸üÄþ¾²¡¢¸üÂÌÉ«µÄ¿ÉÁ¬ÐøÉú³¤¡£

¼ÓÈëÎÒÃÇ
È˲ÅÕþ²ß
ÕÐÏÍÄÉÊ¿
ÄϹ¬(28NG¡¤¹ú¼Ê)¹Ù·½ÍøÕ¾-ÏàÐÅÆ·ÅÆÁ¦Á¿
È˲ÅÕþ²ß
±£ÕÏÔ±¹¤»ù±¾È¨ÒæÓ븣Àû£»Ìṩרҵ¼¼ÄÜÅàѵ£¬´Ù½øÔ±¹¤Éú³¤£»¿ªÕ¹¸»ºñ¶à²ÊµÄ»î¶¯£¬Æ½ºâÔ±¹¤ÊÂÇéÓëÉú»î¡£
ÄϹ¬(28NG¡¤¹ú¼Ê)¹Ù·½ÍøÕ¾-ÏàÐÅÆ·ÅÆÁ¦Á¿
ÕÐÏÍÄÉÊ¿
»¶Ó­¼ÓÈëÄϹ¬28NGÏàÐÅÆ·ÅÆÁ¦Á¿¼ì²â¸÷ÈËÍ¥£¬ÎÒÃǽ«ÎªÄã´î½¨Ò»¸ö³äʵʩչ²ÅÆø£¬ÊµÏÖÖ°ÒµÀíÏëµÄÎę̀¡£
ÄϹ¬(28NG¡¤¹ú¼Ê)¹Ù·½ÍøÕ¾-ÏàÐÅÆ·ÅÆÁ¦Á¿
ÐÂÎÅ×ÊѶ

ÖÊÆÀÂú·Ö | NG28ÄϹ¬28NGÏàÐÅÆ·ÅÆÁ¦Á¿°¬ÆÕÊ×Åúͨ¹ýÈ«¹úÖ×ÁöÍ»±ä¸ººÉ¼ì²âÉúÎïÐÅϢѧ·ÖÎöÁ÷³ÌÊÒ¼äÖÊÁ¿ÆÀ¼Û

Ðû²¼Ê±¼ä£º2022-02-28 ä¯ÀÀ´ÎÊý£º3333

½üÈÕ£¬¹ú¼ÒÎÀÉú½¡¿µÎ¯ÁÙ´²¼ìÑéÖÐÐÄÐû²¼¡¶Ö×ÁöÍ»±ä¸ººÉ¼ì²âÉúÎïÐÅϢѧ·ÖÎöÁ÷³ÌÊÒ¼äÖÊÁ¿ÆÀ¼ÛÔ¤Ñл½á¹û³ÂËß¡·£¬NG28ÄϹ¬28NGÏàÐÅÆ·ÅÆÁ¦Á¿¼ì²â¼¯ÍÅÆìÏÂ×Ó¹«Ë¾ÄϹ¬28NGÏàÐÅÆ·ÅÆÁ¦Á¿°¬ÆÕÔÚ²ÎÆÀ»ú¹¹ÖÐÍÑÓ±¶ø³ö£¬³ÉΪÊ×Åúͨ¹ýÖÊÆÀµÄʵÑéÊÒ¡£

ÄϹ¬(28NG¡¤¹ú¼Ê)¹Ù·½ÍøÕ¾-ÏàÐÅÆ·ÅÆÁ¦Á¿

¾ÝϤ£¬´Ë´Î¡¶È«¹úÖ×ÁöÍ»±ä¸ººÉ¼ì²âÉúÎïÐÅϢѧ·ÖÎöÊÒ¼äÖÊÁ¿ÆÀ¼Û¡·»î¶¯ÎªÈ«¹úÊ×´ÎÐû²¼£¬ÖÊÆÀÖ¼ÔÚÁ˽âÎÒ¹ú¸÷ʵÑéÊÒ°üÂÞʪÊÔÑé²½Öè¡¢Ìåϸ°ûÍ»±ä¼ì²âºÍTMB·ÖÎöÔÚÄÚµÄTMB¼ì²âÄÜÁ¦µÄÏÖ×´£¬Óɹú¼ÒÎÀÉú½¡¿µÎ¯ÁÙ´²¼ìÑéÖÐÐÄ£¨ÒÔϼò³Æ“ÁÙ¼ìÖÐÐÄ”£©ÂôÁ¦Ç£Í·¿ªÕ¹ÉÏÊöÏîÄ¿µÄÊÒ¼äÖÊÁ¿ÆÀ¼ÛÔ¤Ñл£¬×ÅÖØÑé֤ʵÑéÊÒͨ¹ýÉúÎïÐÅÏ¢·ÖÎö¼ÆËãTMBÖµµÄ×ÛºÏÄÜÁ¦£¬ÆäÖаüÂޓʵÑéÊÒӦ׼ȷ¼ì³öÑù±¾ÖеÄÌåϸ°ûÍ»±ä”£¬¼°ÔÚ´Ë»ù´¡ÉÏʵÑéÊÒÓ¦Äܹ»ÕýÈ··ÖÎö¼ÆËãTMBÖµµÄÄÜÁ¦¡£

±¾´ÎÊÒ¼äÖÊÆÀ¿¼²ìÁËʵÑéÊÒ½ÓÄÉÅä¶ÔÑù±¾ºÍ·ÇÅä¶ÔÑù±¾¼ÆËãTMBÖµµÄ׼ȷÐÔ£¬¹²ÓÐÀ´×Ô11¸öÊ¡£¨ÊС¢×ÔÖÎÇø£©µÄ30¼ÒʵÑéÊÒ¼ÓÈ룬×îÖÕÓÐ13¼ÒʵÑéÊÒͨ¹ý£¬Í¨¹ýÂʽö43.33%¡£

¹ØÓÚTMB

·¨Ê½ÐÔËÀÍöÊÜÌå1£¨PD-1£©¼°ÆäÅäÌ壨PD-L1£©ÒÖÖÆ¼ÁµÄÁÆÐ§ÔÚ¹úÄÚÍ⿪չµÄ¸÷Ïî´ó¹æÄ£ÁÙ´²Ñо¿ÖÐÌåÏÖÁ¼ºÃ£¬ÓëÖ®Ïà¹ØµÄÖ×ÁöÍ»±ä¸ººÉ£¨Tumor Mutation Burden£¬TMB£©ºÍ΢ÎÀÐDz»Îȶ¨£¨Microsatellite Instability£¬MSI£©µÈ±êÖ¾ÎïµÄÁÙ´²¼ÛÖµÒ²µÃµ½ÆÕ±éÈÏͬ¡£Ñ§½çÆÕ±éÈÏͬÖ×ÁöÍ»±ä¸ººÉ£¨Tumor mutation burden£¬TMB£©ÔÚÍíÆÚÖ×Áö»¼ÕßµÄÃâÒßÖÎÁÆÒ©ÎïÑ¡ÔñÉϾßÓÐÖØÒªÖ¸µ¼ÒâÒå¡£

ĿǰÁýÕÖÊý°Ùkb¼î»ùÖÁÊýMb¼î»ùµÄ°ÐÏò²âÐò£¨´óPanel/CGP£©ÊǼì²âTMBµÄÖ÷ÒªÒªÁ죬µ«Æä׼ȷÐÔÊÜÖ×ÁöÌåϸ°ûÍ»±ä¼ì²âÄÜÁ¦ºÍTMB¼ÆËã¹æÔòµÈ¶àÖÖÒòËØÅÓ´óÓ°Ïì¡£ÓÈÆäÊÇÔÚÁÙ´²¼ì²âÓ¦ÓÃÖУ¬¸÷ʵÑéÊÒ½¨Á¢µÄÌØ¶¨ÉúÎïÐÅϢѧ·ÖÎöÁ÷³ÌÖÐÊÇ·ñʹÓÃÅä¶ÔÑù±¾£¬¼ÆËãʱËùÄÉÈëµÄÍ»±äÀàÐÍÒÔ¼°¹ýÂ˲ÎÊý£¬ÍùÍù»áÓ°ÏìTMB¼ì²âµÄ׼ȷÐÔ¡£

ÄϹ¬(28NG¡¤¹ú¼Ê)¹Ù·½ÍøÕ¾-ÏàÐÅÆ·ÅÆÁ¦Á¿

±¾´ÎÊÒ¼äÖÊÆÀµÄͨ¹ý½øÒ»²½ÑéÖ¤ÁËNG28ÄϹ¬28NGÏàÐÅÆ·ÅÆÁ¦Á¿°¬ÆÕÔÚ¸ßͨÁ¿»ùÒò¼ì²âÁìÓòµÄÏȽøË®Æ½ºÍÇ¿´óµÄÉúÐÅ·ÖÎöÄÜÁ¦£¬ÒÔ¼°¿É¿¿µÄÖÊÁ¿Ìåϵ£¬¸÷ÏîÖ¸±ê¾ùµ½´ï¹úÄÚÏȽøË®Æ½¡£×÷ΪÖйúµÚÈý·½¼ì²âÓëÈÏÖ¤·þÎñµÄ¿ªÍØÕߺÍÁìÏÈÕߣ¬NG28ÄϹ¬28NGÏàÐÅÆ·ÅÆÁ¦Á¿¼ì²â½«¼ÌÐø±£³Ö¼ì²âµÄ×êʯƷÖÊ£¬ÒԸ߳߶ȡ¢¸ßÖÊÁ¿µÄרҵ¼¼Êõ£¬²»Í£½øÈ¡¡¢¾«ÒæÇ󾫣¬Îª¹ã´ó¿Í»§ÌṩһÁ÷µÄÒ½ÁƼì²â·þÎñ£¬ÊØ»¤¹«¹²½¡¿µ£¬ÎªÆ·ÖÊÉú»îͨ±¨ÐÅÈΡ£

¹ØÓÚÄϹ¬28NGÏàÐÅÆ·ÅÆÁ¦Á¿°¬ÆÕ

ÄϹ¬28NGÏàÐÅÆ·ÅÆÁ¦Á¿°¬ÆÕҽѧ¼ìÑéËùÓÐÏÞ¹«Ë¾£¨ÒÔϼò³Æ“ÄϹ¬28NGÏàÐÅÆ·ÅÆÁ¦Á¿°¬ÆÕ”£©ÊÇÉîÛÚÄϹ¬28NGÏàÐÅÆ·ÅÆÁ¦Á¿£¨¹ÉƱ´úÂ룺300012£©µÄÈ«×Ê×Ó¹«Ë¾¡£ÄϹ¬28NGÏàÐÅÆ·ÅÆÁ¦Á¿°¬ÆÕƾ¾Ý¹ú¼ÒÎÀÉú½¡¿µÎ¯Ô±»á¡¢ISO15189¼°CAPµÈ¹æÔòºÍ³ß¶ÈÉèÁ¢£¬½ÓÄɹú¼ÊÖªÃûÑо¿»ú¹¹µÄÏȽø¹ÜÀíÌåϵ£¬ÓëÈ«Çò¶¥¼âҽѧ¼ìÑé»ú¹¹¿ªÕ¹¹ã·ººÏ×÷£¬Ìṩ¾«×¼µÄÁÙ´²¼ìÑé¡¢»ùÒò¼ì²â¡¢²¡Àí»áÕï¡¢¹¦Ð§Ò½Ñ§¡¢¿ÆÑм°½¡¿µ¹ÜÀí·þÎñ¡£

ĿǰÒÑÍê³ÉÉîÛÚ¡¢ÉϺ£¡¢±±¾©¡¢Ìì½ò¡¢Çൺ¡¢Ö£ÖÝ¡¢ËÕÖÝ¡¢À¥Ã÷ҽѧʵÑéÊÒµÄÈ«¹ú½á¹¹£¬Î´À´»¹½«¼ÌÐøÉîÈë¸÷¶àÊý»á£¬Îª¿Í»§Ìṩµ±µØ»¯·þÎñ¡£È«¹úÆìÏÂҽѧʵÑéÊÒ¾ù»ñµÃÒ½ÁÆ»ú¹¹Ðí¿ÉÖ¤¡¢PCRÀ©ÔöʵÑéÊҺϸñÖ¤ÊéºÍ²¡Ô­Î¢ÉúÎï¶þ¼¶ÊµÑéÊÒÈϿɡ£¹«Ë¾×ܲ¿Î»ÓÚÉϺ££¬ÎªÖйúҽѧװ±¸Ð­»á²¡Àí¼¼ÊõרҵίԱ»á²¡ÀíרÏî¼¼ÊõÅàѵ»ùµØ¡¢ÖйúÒ½Ò©ÎÀÉúÊÂÒµÉú³¤»ù½ð»á¹¦Ð§Ò½Ñ§¼ì²â»ùµØ¡¢¸´µ©´óѧ»ù´¡Ò½Ñ§ÔºÏÖ´ú²¡ÀíÖÐÐĵÄÖÐÐÄʵÑéÊÒ£¬¶øÇÒÁ¬ÐøÈýÄê»ñµÃÉϺ£ÊеÚÈý·½Ò½Ñ§¼ìÑéËùA¼¶³ÆÎ½¡£

׿ԽµÄ·þÎñ£¬ÊÇÄϹ¬28NGÏàÐÅÆ·ÅÆÁ¦Á¿°¬ÆÕÿһλԱ¹¤µÄÐÅÄî¡£×÷Ϊһ¼ÒÓÐÉç»áÔðÈÎ¸ÐµÄÆóÒµ£¬ÄϹ¬28NGÏàÐÅÆ·ÅÆÁ¦Á¿°¬ÆÕ½«ÓÃ×îÄþ¾²¡¢×îÏȽø¡¢×îÎȶ¨¡¢×î׼ȷµÄ¼¼Êõ£¬ÏòÄúÌṩһÁ÷µÄÒ½ÁƼì²â·þÎñ£¬ÊØ»¤ÄúµÄ½¡¿µ¡£

ÍøÕ¾µØÍ¼