帕纳替尼/普纳替尼(PONATINIB)能否一线治疗白血病患者?
帕纳替尼一线治疗CML的疗效研究:帕纳替尼是一种抗肿瘤药物。适用于成人CML((CML),“费城染色体阳性”(Ph+)的急性淋巴细胞性白血病(ALL)的治疗。对于达沙替尼或尼洛替尼治疗无效,或者无法耐受达沙替尼或尼洛替尼,或者伊马替尼后续治疗不合适的患者,主要用来治疗。还可以用来治疗基因突变的病人(“T315I突变”),这种突变会使病人对伊马替尼、达沙替尼或尼洛替尼产生抗性。
根据第二阶段的研究发现,酪氨酸激酶抑制剂(TKI)帕纳替尼在大多数新诊断为慢性期CML的病人中能产生完全的细胞遗传学缓解。但是这种药物血管的副作用提示,应该首先考虑使用其他一线治疗药物。25-30%的患者对TKI一线疗法具有耐药性。这样的治疗能改善病人的预后,避免或防止TKI耐药的发生。Panamini是第三代酪氨酸激酶抑制剂,它不仅能抑制BCR-ABL1激酶的活性,而且它的药物安全性也成为一个隐患。
帕纳替尼一线治疗CML的疗效研究:帕纳替尼是一种抗肿瘤药物。适用于成人CML((CML),“费城染色体阳性”(Ph+)的急性淋巴细胞性白血病(ALL)的治疗。对于达沙替尼或尼洛替尼治疗无效,或者无法耐受达沙替尼或尼洛替尼,或者伊马替尼后续治疗不合适的患者,主要用来治疗。还可以用来治疗基因突变的病人(“T315I突变”),这种突变会使病人对伊马替尼、达沙替尼或尼洛替尼产生抗性。
根据第二阶段的研究发现,酪氨酸激酶抑制剂(TKI)帕纳替尼在大多数新诊断为慢性期CML的病人中能产生完全的细胞遗传学缓解。但是这种药物血管的副作用提示,应该首先考虑使用其他一线治疗药物。25-30%的患者对TKI一线疗法具有耐药性。这样的治疗能改善病人的预后,避免或防止TKI耐药的发生。Panamini是第三代酪氨酸激酶抑制剂,它不仅能抑制BCR-ABL1激酶的活性,而且它的药物安全性也成为一个隐患。
Article:
Topological modes in a laser cavity through exceptional state transfer
10.1126/science.abl6571
abstract:
"Shaping the light emission characteristics of laser systems is of great importance in various areas of science and technology. In a typical lasing arrangement, the transverse spatial profile of a laser mode tends to remain self-similar throughout the entire cavity. Going beyond this paradigm, we demonstrate here how to shape a spatially evolving mode such that it faithfully settles into a pair of bi-orthogonal states at the two opposing facets of a laser cavity. This was achieved by purposely
||designing a structure that allows the lasing mode to encircle a non-Hermitian exceptional point while deliberately avoiding non-adiabatic jumps.||
The resulting state transfer reflects the unique topology of the associated Riemann surfaces associated with this singularity. Our approach provides a route to developing versatile mode-selective active devices and sheds light on the interesting topological features of exceptional points."
Topological modes in a laser cavity through exceptional state transfer
10.1126/science.abl6571
abstract:
"Shaping the light emission characteristics of laser systems is of great importance in various areas of science and technology. In a typical lasing arrangement, the transverse spatial profile of a laser mode tends to remain self-similar throughout the entire cavity. Going beyond this paradigm, we demonstrate here how to shape a spatially evolving mode such that it faithfully settles into a pair of bi-orthogonal states at the two opposing facets of a laser cavity. This was achieved by purposely
||designing a structure that allows the lasing mode to encircle a non-Hermitian exceptional point while deliberately avoiding non-adiabatic jumps.||
The resulting state transfer reflects the unique topology of the associated Riemann surfaces associated with this singularity. Our approach provides a route to developing versatile mode-selective active devices and sheds light on the interesting topological features of exceptional points."
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