Human Vaccines & Immunotherapeutics最新文献

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Neutralization potency of the 2023-24 seasonal influenza vaccine against circulating influenza H3N2 strains. 2023-24 年度季节性流感疫苗对流行 H3N2 流感病毒株的中和效力。
IF 4.1 4区 医学
Human Vaccines & Immunotherapeutics Pub Date : 2024-12-31 Epub Date: 2024-08-29 DOI: 10.1080/21645515.2024.2380111
Xiande Huang, Ziqi Cheng, Yake Lv, Weixuan Li, Xiaoyu Liu, Weijin Huang, Chenyan Zhao
{"title":"Neutralization potency of the 2023-24 seasonal influenza vaccine against circulating influenza H3N2 strains.","authors":"Xiande Huang, Ziqi Cheng, Yake Lv, Weixuan Li, Xiaoyu Liu, Weijin Huang, Chenyan Zhao","doi":"10.1080/21645515.2024.2380111","DOIUrl":"10.1080/21645515.2024.2380111","url":null,"abstract":"<p><p>Seasonal influenza is a severe disease that significantly impacts public health, causing millions of infections and hundreds of thousands of deaths each year. Seasonal influenza viruses, particularly the H3N2 subtype, exhibit high antigenic variability, often leading to mismatch between vaccine strains and circulating strains. Therefore, rapidly assessing the alignment between existing seasonal influenza vaccine and circulating strains is crucial for enhancing vaccine efficacy. This study, based on a pseudovirus platform, evaluated the match between current influenza H3N2 vaccine strains and circulating strains through cross-neutralization assays using clinical human immune sera against globally circulating influenza virus strains. The research results show that although mutations are present in the circulating strains, the current H3N2 vaccine strain still imparting effective protection, providing a scientific basis for encouraging influenza vaccination. This research methodology can be sustainably applied for the neutralization potency assessment of subsequent circulating strains, establishing a persistent methodological framework.</p>","PeriodicalId":49067,"journal":{"name":"Human Vaccines & Immunotherapeutics","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11364067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A highly neutralizing human monoclonal antibody targeting a novel linear epitope on staphylococcal enterotoxin B. 针对葡萄球菌肠毒素 B 上的新型线性表位的高中和性人类单克隆抗体。
IF 4.1 4区 医学
Human Vaccines & Immunotherapeutics Pub Date : 2024-12-31 Epub Date: 2024-06-10 DOI: 10.1080/21645515.2024.2360338
Hongyin Fan, Liqun Zhao, Weiwei Wang, Feng Yu, Haiming Jing, Yun Yang, Xiaoli Zhang, Zhuo Zhao, Qiang Gou, Weijun Zhang, Quanming Zou, Jinyong Zhang, Hao Zeng
{"title":"A highly neutralizing human monoclonal antibody targeting a novel linear epitope on staphylococcal enterotoxin B.","authors":"Hongyin Fan, Liqun Zhao, Weiwei Wang, Feng Yu, Haiming Jing, Yun Yang, Xiaoli Zhang, Zhuo Zhao, Qiang Gou, Weijun Zhang, Quanming Zou, Jinyong Zhang, Hao Zeng","doi":"10.1080/21645515.2024.2360338","DOIUrl":"10.1080/21645515.2024.2360338","url":null,"abstract":"<p><p>Staphylococcal Enterotoxin B (SEB), produced by <i>Staphylococcus aureus</i> (<i>S. aureus</i>), is a powerful superantigen that induces severe immune disruption and toxic shock syndrome (TSS) upon binding to MHC-II and TCR. Despite its significant impact on the pathogenesis of <i>S. aureus</i>, there are currently no specific therapeutic interventions available to counteract the mechanism of action exerted by this toxin. In this study, we have identified a human monoclonal antibody, named Hm0487, that specifically targets SEB by single-cell sequencing using PBMCs isolated from volunteers enrolled in a phase I clinical trial of the five-antigen <i>S. aureus</i> vaccine. X-ray crystallography studies revealed that Hm0487 exhibits high affinity for a linear B cell epitope in SEB (SEB<sub>138-147</sub>), which is located distantly from the site involved in the formation of the MHC-SEB-TCR ternary complex. Furthermore, <i>in vitro</i> studies demonstrated that Hm0487 significantly impacts the interaction of SEB with both receptors and the binding to immune cells, probably due to an allosteric effect on SEB rather than competing with receptors for binding sites. Moreover, both <i>in vitro</i> and <i>in vivo</i> studies validated that Hm0487 displayed efficient neutralizing efficacy in models of lethal shock and sepsis induced by either SEB or bacterial challenge. Our findings unveil an alternative mechanism for neutralizing the pathogenesis of SEB by Hm0487, and this antibody provides a novel strategy for mitigating both SEB-induced toxicity and <i>S. aureus</i> infection.</p>","PeriodicalId":49067,"journal":{"name":"Human Vaccines & Immunotherapeutics","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11182437/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141301966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Response to comment on "A bibliometric analysis of vaccination against atherosclerosis". 对 "动脉粥样硬化疫苗接种的文献计量分析 "评论的回应。
IF 4.1 4区 医学
Human Vaccines & Immunotherapeutics Pub Date : 2024-12-31 Epub Date: 2024-08-14 DOI: 10.1080/21645515.2024.2377851
Bochao Jia, Rui Wei, Chenlu Yuan, Tao Cheng, Shuai Shi, Yuguang Chu, Yuanhui Hu
{"title":"Response to comment on \"A bibliometric analysis of vaccination against atherosclerosis\".","authors":"Bochao Jia, Rui Wei, Chenlu Yuan, Tao Cheng, Shuai Shi, Yuguang Chu, Yuanhui Hu","doi":"10.1080/21645515.2024.2377851","DOIUrl":"10.1080/21645515.2024.2377851","url":null,"abstract":"","PeriodicalId":49067,"journal":{"name":"Human Vaccines & Immunotherapeutics","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11332563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comment on the "Analysis of the implementation effect and evaluation of the vaccine protection effect of the live attenuated varicella vaccine program for school-age children in Bao'an district of Shenzhen, China". 就 "深圳市宝安区学龄儿童水痘减毒活疫苗项目实施效果分析及疫苗保护效果评估 "发表评论。
IF 4.1 4区 医学
Human Vaccines & Immunotherapeutics Pub Date : 2024-12-31 Epub Date: 2024-10-02 DOI: 10.1080/21645515.2024.2408879
Dalmacito A Cordero
{"title":"Comment on the \"Analysis of the implementation effect and evaluation of the vaccine protection effect of the live attenuated varicella vaccine program for school-age children in Bao'an district of Shenzhen, China\".","authors":"Dalmacito A Cordero","doi":"10.1080/21645515.2024.2408879","DOIUrl":"10.1080/21645515.2024.2408879","url":null,"abstract":"","PeriodicalId":49067,"journal":{"name":"Human Vaccines & Immunotherapeutics","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11460666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Broadening sarbecovirus neutralization with bispecific antibodies combining distinct conserved targets on the receptor binding domain. 利用结合受体结合域上不同保守靶点的双特异性抗体拓宽肉瘤病毒的中和作用。
IF 4.1 4区 医学
Human Vaccines & Immunotherapeutics Pub Date : 2024-12-31 Epub Date: 2024-08-20 DOI: 10.1080/21645515.2024.2388344
Denise Guerra, Laura Radić, Mitch Brinkkemper, Meliawati Poniman, Lara van der Maas, Jonathan L Torres, Andrew B Ward, Kwinten Sliepen, Janke Schinkel, Rogier W Sanders, Marit J van Gils, Tim Beaumont
{"title":"Broadening sarbecovirus neutralization with bispecific antibodies combining distinct conserved targets on the receptor binding domain.","authors":"Denise Guerra, Laura Radić, Mitch Brinkkemper, Meliawati Poniman, Lara van der Maas, Jonathan L Torres, Andrew B Ward, Kwinten Sliepen, Janke Schinkel, Rogier W Sanders, Marit J van Gils, Tim Beaumont","doi":"10.1080/21645515.2024.2388344","DOIUrl":"10.1080/21645515.2024.2388344","url":null,"abstract":"<p><p>Monoclonal neutralizing antibodies (mAbs) are considered an important prophylactic against SARS-CoV-2 infection in at-risk populations and a strategy to counteract future sarbecovirus-induced disease. However, most mAbs isolated so far neutralize only a few sarbecovirus strains. Therefore, there is a growing interest in bispecific antibodies (bsAbs) which can simultaneously target different spike epitopes and thereby increase neutralizing breadth and prevent viral escape. Here, we generate and characterize a panel of 30 novel broadly reactive bsAbs using an efficient controlled Fab-arm exchange protocol. We specifically combine some of the broadest mAbs described so far, which target conserved epitopes on the receptor binding domain (RBD). Several bsAbs show superior cross-binding and neutralization compared to the parental mAbs and cocktails against sarbecoviruses from diverse clades, including recent SARS-CoV-2 variants. BsAbs which include mAb COVA2-02 are among the most potent and broad combinations. As a result, we study the unknown epitope of COVA2-02 and show that this mAb targets a distinct conserved region at the base of the RBD, which could be of interest when designing next-generation bsAb constructs to contribute to a better pandemic preparedness.</p>","PeriodicalId":49067,"journal":{"name":"Human Vaccines & Immunotherapeutics","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11340772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cost-effectiveness analysis of vaccination strategies against meningococcal disease for children under nine years of age in China. 中国九岁以下儿童脑膜炎球菌病疫苗接种策略的成本效益分析。
IF 4.1 4区 医学
Human Vaccines & Immunotherapeutics Pub Date : 2024-12-31 Epub Date: 2024-02-13 DOI: 10.1080/21645515.2024.2313872
Haonan Zhang, Haijun Zhang, Hai Fang
{"title":"Cost-effectiveness analysis of vaccination strategies against meningococcal disease for children under nine years of age in China.","authors":"Haonan Zhang, Haijun Zhang, Hai Fang","doi":"10.1080/21645515.2024.2313872","DOIUrl":"10.1080/21645515.2024.2313872","url":null,"abstract":"<p><p>Meningococcal vaccination strategies in China are intricate, including multiple vaccines targeting different serogroups. The current National Immunization Program (NIP) includes two polysaccharide vaccines for serogroups A and C (MPV-A and MPV-AC), covering limited serogroups and requiring adaptation. This study aims to evaluate the cost-effectiveness of replacing the current strategy with alternative strategies utilizing non-NIP vaccines to inform policy decisions. From a societal perspective, a decision tree-Markov model was constructed to simulate the economic and health consequences of meningococcal disease in a 2019 birth cohort with four vaccination strategies. Epidemiology, vaccine efficacy, cost, and other parameters were derived from previous studies. We conducted sensitivity analyses to assess the robustness of the findings and explored prices for non-NIP vaccines that enable cost-effective strategies. Compared to the current strategy, alternative strategies using quadrivalent polysaccharide vaccine (MPV-4), bivalent conjugate vaccine (MCV-AC), and quadrivalent conjugate vaccine (MCV-4) could avoid 91, 286, and 455 more meningococcal cases. The ICERs were estimated at approximately $250 thousand/QALY, $450 thousand/QALY, and $1.5 million/QALY, all exceeding the threshold of three times GDP per capita. The alternative strategies were not cost-effective. However, if vaccine prices were reduced to $3.9 for MPV-4, $9.9 for MCV-AC, and $12 for MCV-4, the corresponding strategy would be cost-effective. The current meningococcal vaccination strategy in China could effectively prevent the disease at a low cost, but with limited serogroup coverage. Strategies using MPV-4, MCV-AC, or MCV-4 could increase health benefits at a substantial cost, and might become cost-effective if vaccine prices decrease.</p>","PeriodicalId":49067,"journal":{"name":"Human Vaccines & Immunotherapeutics","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10865926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dual-antigen fusion protein vaccination induces protective immunity against Candida albicans infection in mice. 双抗原融合蛋白疫苗接种可诱导小鼠对白色念珠菌感染产生保护性免疫。
IF 4.1 4区 医学
Human Vaccines & Immunotherapeutics Pub Date : 2024-12-31 Epub Date: 2024-09-26 DOI: 10.1080/21645515.2024.2406065
Keran Jia, Yanhao Zhang, Mengyu Jiang, Mengge Cui, Jia Wang, Jiajia Zhang, Hua Wang, Huihai Zhao, Mengyan Li, Quanming Zou, Hao Zeng
{"title":"Dual-antigen fusion protein vaccination induces protective immunity against <i>Candida albicans</i> infection in mice.","authors":"Keran Jia, Yanhao Zhang, Mengyu Jiang, Mengge Cui, Jia Wang, Jiajia Zhang, Hua Wang, Huihai Zhao, Mengyan Li, Quanming Zou, Hao Zeng","doi":"10.1080/21645515.2024.2406065","DOIUrl":"10.1080/21645515.2024.2406065","url":null,"abstract":"<p><p><i>Candida albicans</i> Is a leading cause of nosocomial bloodstream infections, particularly in immunocompromised patients. Current therapeutic strategies are insufficient, highlighting the need for effective vaccines. This study aimed to evaluate the efficacy of a dual-antigen fusion protein vaccine (AH) targeting the Als3 and Hyr1 proteins of <i>C. albicans</i>, using AlPO<sub>4</sub> as an adjuvant. The AH vaccine was constructed by fusing Als3<sub>17-432</sub> and Hyr1<sub>25-350</sub> proteins, and its immunogenicity was tested in BALB/c mice and New Zealand white rabbits. Mice received three intramuscular doses of the vaccine combined with AlPO<sub>4</sub>, followed by a lethal challenge with <i>C. albicans</i> SC5314. Survival rates, antibody responses, cytokine production, fungal burdens, and organ pathology were assessed. The vaccine's efficacy was also validated using rabbit serum. Mice vaccinated with the AH-AlPO<sub>4</sub> combination exhibited significantly higher antibody titers, particularly IgG and its subclasses, compared to controls (<i>p</i> < .001). The survival rate of vaccinated mice was 80% post-infection, significantly higher than the control group (<i>p</i> < .01). Vaccinated mice showed reduced fungal loads in the blood, kidneys, spleen, and liver (<i>p</i> < .05). Increased levels of interferon gamma and interleukin (IL)-17A were observed, indicating robust T helper (Th) 1 and Th17 cell responses. Vaccination mitigated organ damage, with kidney and liver pathology scores significantly lower than those of unvaccinated mice (<i>p</i> < .05). Rabbit serum with polyclonal antibodies demonstrated effective antifungal activity, confirming vaccine efficacy across species. The AH-AlPO<sub>4</sub> vaccine effectively induced strong immune responses, reduced fungal burden, and protected against organ pathology in <i>C. albicans</i> infections. These findings support further development of dual-antigen vaccine strategies.</p>","PeriodicalId":49067,"journal":{"name":"Human Vaccines & Immunotherapeutics","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11441037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adverse event reporting following immunization of hepatitis B vaccine: A 13-year review. 乙肝疫苗免疫后的不良事件报告:13 年回顾。
IF 4.1 4区 医学
Human Vaccines & Immunotherapeutics Pub Date : 2024-12-31 Epub Date: 2024-10-13 DOI: 10.1080/21645515.2024.2411824
Xiaoying Gong, Quanjun Fang, Jianyue Zhong, Canjie Zheng, Zhiying Yin
{"title":"Adverse event reporting following immunization of hepatitis B vaccine: A 13-year review.","authors":"Xiaoying Gong, Quanjun Fang, Jianyue Zhong, Canjie Zheng, Zhiying Yin","doi":"10.1080/21645515.2024.2411824","DOIUrl":"https://doi.org/10.1080/21645515.2024.2411824","url":null,"abstract":"<p><p>Hepatitis B vaccination is the most effective means of interrupting HBV transmission. Although the hepatitis B vaccine is very effective and safe, adverse events following immunization do occur and need to be reported so that problems can be identified and appropriate corrective action can be taken. Most of the research on AEFI focuses on the safety observation of newly used vaccines, and there are few long-term studies on AEFI of the hepatitis B vaccine. This study retrospectively analyzes the reporting rate, clinical symptoms, and onset time of AEFI of the hepatitis B vaccine in Quzhou from 2011 to 2023, and compares the differences in AEFI reporting rates between different types of hepatitis B vaccines, different vaccination ages, and different doses. The surveillance results show that from 2011 to 2023, the AEFI reporting rate of hepatitis B Vaccines in Quzhou was 17.55/100,000 doses. 98.73% of reported AEFI were non-serious. The types of AEFI reported were vaccine product-related reactions, immunization anxiety-related reactions, and coincidental events. 94.12% of vaccine product-related reactions occurred within 3 days, and the main symptoms were fever, local reactions at the injection site, and rash. The AEFI reporting rate of the CHO vaccine was higher than that of the yeast vaccines, and the probability of AEFI in children under 1 year of age receiving the hepatitis B vaccine was higher in the latter dose than in the previous dose. The 13-year-long AEFI surveillance provides reliable evidence of the safety of the hepatitis B vaccine.</p>","PeriodicalId":49067,"journal":{"name":"Human Vaccines & Immunotherapeutics","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11485979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction. 更正。
IF 4.1 4区 医学
Human Vaccines & Immunotherapeutics Pub Date : 2024-12-31 Epub Date: 2024-10-15 DOI: 10.1080/21645515.2024.2403291
{"title":"Correction.","authors":"","doi":"10.1080/21645515.2024.2403291","DOIUrl":"https://doi.org/10.1080/21645515.2024.2403291","url":null,"abstract":"","PeriodicalId":49067,"journal":{"name":"Human Vaccines & Immunotherapeutics","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11486124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A pathological complete response to capecitabine plus oxaliplatin regimen combined with tislelizumab in advanced gastric cancer with liver metastases: A case report. 卡培他滨加奥沙利铂方案联合替赛珠单抗治疗晚期胃癌肝转移病理完全反应:病例报告。
IF 4.1 4区 医学
Human Vaccines & Immunotherapeutics Pub Date : 2024-12-31 Epub Date: 2024-10-14 DOI: 10.1080/21645515.2024.2406061
Li-Ping Sheng, Yun-Lin Huang, Zhi Wang, Hai-Fang Zhang, Jin-Yan Zhang, Xiao-Yi Lei
{"title":"A pathological complete response to capecitabine plus oxaliplatin regimen combined with tislelizumab in advanced gastric cancer with liver metastases: A case report.","authors":"Li-Ping Sheng, Yun-Lin Huang, Zhi Wang, Hai-Fang Zhang, Jin-Yan Zhang, Xiao-Yi Lei","doi":"10.1080/21645515.2024.2406061","DOIUrl":"https://doi.org/10.1080/21645515.2024.2406061","url":null,"abstract":"<p><p>A 66-year-old female patient presenting with dysphagia was diagnosed with stage IV unresectable gastric cancer (cTxN+M1). Multiple liver metastases were identified. The patient subsequently underwent five courses of chemotherapy and immunotherapy, including the capecitabine plus oxaliplatin (XELOX) regimen combined with tislelizumab. After fifth course treatment, it was confirmed that the liver metastases had completely disappeared and the primary tumor had significantly reduced in size. Consequently, a laparoscopy was performed, revealing a retraction-like response in the primary tumor and no obvious metastases in the abdominal cavity. Subsequently, a radical total gastrectomy was carried out through open abdominal surgery. Pathological analysis showed no remaining cancer or lymph node metastases, and the tumor regression was classified as grade 0. The patient has been now receiving additional chemotherapy and immunotherapy to manage any potential residual metastases. This case illustrated the rare and significant impact of combining chemotherapy with tislelizumab, transitioning the treatment approach from palliative to curative. It highlighted the critical role of immunotherapy in managing advanced gastric cancer with liver metastases.</p>","PeriodicalId":49067,"journal":{"name":"Human Vaccines & Immunotherapeutics","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11485698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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