Real-world outcomes of atezolizumab–bevacizumab and durvalumab–tremelimumab in unresectable hepatocellular carcinoma: a systematic review with covariate-adjusted meta-regression and exploratory machine learning analysis

Background/purposeAtezolizumab–bevacizumab (AB) and durvalumab–tremelimumab (DT) are standard first-line therapies for unresectable hepatocellular carcinoma (uHCC), but their comparative effectiveness remains uncertain.MethodsWe included 76 observation…

Adjuvant immunotherapy versus observation after neoadjuvant therapy and esophagectomy for esophageal cancer with residual pathologic disease: a systematic review and reconstructed individual participant data meta-analysis

BackgroundThe role of adjuvant immunotherapy after neoadjuvant therapy and esophagectomy remains uncertain. We examined its association with survival in populations composed predominantly of patients with residual disease across neoadjuvant strategies….

Comparative safety of interleukin inhibitors for rheumatoid arthritis: a systematic review and network meta-analysis of randomized controlled trials

BackgroundThe safety of biological agents in the treatment of rheumatoid arthritis (RA) is an important factor affecting patient prognosis and treatment adherence. Among them, interleukin inhibitors are an important category. However, the safety of dif…

Hypoxic cancer stem cell–immune niches in the tumor microenvironment: a Systematic Review of mechanisms and therapeutic implications

BackgroundHypoxia, cancer stem cell (CSC) plasticity, and immune suppression are established features of the tumor microenvironment, but their integration within the same biological systems has not been comprehensively synthesized. This systematic revi…

Omics-based biomarkers of immune-related organ toxicities associated with immune checkpoint inhibitors: a scoping review and evidence map

BackgroundImmune checkpoint inhibitors (ICIs) can cause immune-related adverse events (irAEs) across multiple organs. High-throughput omics approaches may help characterize susceptibility, molecular mechanisms, diagnostic features, and monitoring marke…

Hypoxic cancer stem cell–immune niches in the tumor microenvironment: a Systematic Review of mechanisms and therapeutic implications

BackgroundHypoxia, cancer stem cell (CSC) plasticity, and immune suppression are established features of the tumor microenvironment, but their integration within the same biological systems has not been comprehensively synthesized. This systematic revi…

Thirty-five years of evolving inflammatory paradigms in sepsis (1991–2025): a comprehensive mapping of immune dysregulation research, anti-inflammatory targets, and translational barriers

BackgroundSepsis represents a life-threatening dysregulation of the host inflammatory response, progressing from innate immune hyperactivation and pro-inflammatory cytokine release to a secondary immunosuppressive phase. Although the diagnostic framewo…

Oral mucositis risk with EGFR tyrosine kinase inhibitor monotherapies and combination regimens in non-small cell lung cancer: a systematic review and network meta-analysis

Introduction and aimsOral mucositis (OM) impairs quality of life, necessitates dose modification, and disrupts treatment continuity in patients receiving EGFR tyrosine kinase inhibitors (EGFR-TKIs), yet comparative OM risks across monotherapies and com…

Efficacy and safety of thymosin α1 combined with chemotherapy for gastric cancer: a systematic review and meta-analysis of randomized controlled trials

ObjectiveTo systematically evaluate the efficacy and safety of thymosin α1 combined with chemotherapy in the treatment of gastric cancer.MethodsA systematic search of 8 electronic databases was conducted to identify relevant RCTs. Meta-analysis was per…

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