Multiple randomized clinical trials have demonstrated that epidermal growth factor receptor (EGFR) exon 19 deletion (19Del) and exon 21 L858R mutation (L858R) are highly correlated with sensitivity to epidermal growth factor receptor tyrosine kinase inhibitor (EGFR-TKI) treatment in non-small-cell lung cancer (NSCLC). A mutation in exon 20 (T790M) is reportedly associated with resistance to EGFR-TKIs. However, few studies have focused on patients harboring double mutations in these 3 mutation sites. In this retrospective study, forty-five patients (45/2546, 1.7%) harbored double mutations of 19Del, L858R, and T790M. Twenty-four patients with EGFR double mutations received EGFR-TKI therapy. Clinical characteristics of these patients, including the response to EGFR-TKIs and progression-free survival outcome for EGFR-TKI treatment (PFS-TKI), were analyzed. Patients with EGFR double mutations were more likely to be nonsmokers, have an Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0-1, have adenocarcinoma, and be at stage III-IV. The ORR, DCR, and median PFS-TKI in patients harboring EGFR double mutations were lower than in patients with a single EGFR-activating mutation. The differences in ORR and DCR were statistically insignificant between the 3 groups. Patients with double mutations of 19Del and T790M had longer PFS-TKIs than patients in the other 2 groups.
Different amounts of SiO2 were used to substitute P2O5 to prepare lithium-iron-phosphate glass melts. It was found that glass can only formed after annealing the melt cast sample if the sample contains SiO2 not more than 5 mol%. The addition of 5 mol% SiO2 into the lithium-iron-phosphate glass strengthens the phosphate glass network. The density, chemical durability, both the transition and crystallization temperatures increase with the addition of SiO2. In addition, the addition of SiO2 results in the decrease in the activation energy of lithium-iron-phosphate glass, making the glass easier to crystallize. However, both the lithium-iron-phosphate glass and the glass with SiO2 show surface crystallization with LiFeP2O7 as the crystalline phase.
To understand the effects of the third body of copper in the copper-based composite materials on the friction properties, the effect of copper powders on the friction properties of Q235 steel is studied by using the pin-on-disk tester and adding copper powders third body. The results show that when the friction speed at 500-3000 r/min, due to the incremental copper powders, the depth of the furrows on the friction surface was reduced and the adhesion and spalling process of surface third body were intensified, which results that the frictional coefficients of the Q235 steel are increased 0.2-0.35 comparing with that of without adding copper powders. The reason is that incremental copper third body plays the role of increasing the meshing of the asperity and the actual friction area.
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