摘要
今天,我们正在经历一场关于结肠 - 直肠癌治疗方法的真正文化革命,由于孤儿疾病,它现在正成为科学创新和概念的重要范例。 随着引入以血管内皮生长因子(VEGF)和表皮生长因子受体(EGFR)为靶标的单克隆抗体,转移性结肠直肠癌患者(m-CRC)的生存率得到显着改善。 癌症中的PD-1 / PD-L1途径涉及逃避免疫破坏的肿瘤。该途径在许多肿瘤中上调。用抗PD-1和抗PD-L1试剂阻断该途径已经在受到许多不同类型癌症影响的患者中引起显着的临床反应。 这篇综述的目的是评估生物制剂成瘾在m-CRC治疗中对标准化疗的影响。 我们可以说,在各种治疗方案中,未来的挑战将是对人群的更好选择,以确保抗VEGF药物或抗EGFR治疗的最佳益处以及对患者的谨慎和个性化的计划针对每位患者的治疗策略。
关键词: 大肠癌,单克隆抗体,靶向治疗,治疗,抗VEGF药物,抗EGFR。
Current Cancer Drug Targets
Title:Metastatic Colorectal Cancer: Role of Target Therapies and Future Perspectives
Volume: 18 Issue: 5
关键词: 大肠癌,单克隆抗体,靶向治疗,治疗,抗VEGF药物,抗EGFR。
摘要: Today, we are experiencing a real cultural revolution in the therapeutic approach to cancer of the colon - rectum, that by orphan disease, it is now becoming an important paradigm of scientific innovations and concepts.
Survival of patients with metastatic colorectal cancer (m-CRC) has been significantly improved with the introduction of the monoclonal antibodies that have as target the vascular endothelial growth factor (VEGF) and the epidermal growth factor receptor (EGFR).
The PD-1/PD-L1 pathway in cancer is implicated in tumors escaping immune destruction. This pathway is up -regulated in many tumours. Blockade of this pathway with anti-PD-1 and anti-PD-L1 agents has led to remarkable clinical responses in patients affected by many different types of cancer.
The aim of this review is to evaluate the effects of addiction of biological agents to standard chemotherapy in the treatment of m-CRC.
We can say that, among the various treatment options, the challenge of the future will be a better selection of the population, to ensure the best possible benefit from treatment with anti-VEGF drugs or anti-EGFR and a careful and customized planning of the therapeutic strategy for each patient.
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Metastatic Colorectal Cancer: Role of Target Therapies and Future Perspectives, Current Cancer Drug Targets 2018; 18 (5) . https://dx.doi.org/10.2174/1568009617666170209095143
DOI https://dx.doi.org/10.2174/1568009617666170209095143 |
Print ISSN 1568-0096 |
Publisher Name Bentham Science Publisher |
Online ISSN 1873-5576 |
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