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当代肿瘤药物靶点

Editor-in-Chief

ISSN (Print): 1568-0096
ISSN (Online): 1873-5576

Review Article

分子机制和靶向治疗包括非小细胞肺癌的免疫治疗

卷 19, 期 8, 2019

页: [595 - 630] 页: 36

弟呕挨: 10.2174/1568009619666181210114559

价格: $65

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摘要

肺癌是全球癌症死亡的主要原因。 分子靶向治疗极大地推进了非小细胞肺癌(NSCLC)的治疗领域,非小细胞肺癌占大多数肺癌。 实际上,吉非替尼是第一种分子靶向治疗药物,实际上使NSCLC患者的存活时间翻了一番。 临床医生和研究人员的大力努力表明,肺癌通过许多驱动基因的激活突变而发展,包括表皮生长因子受体(EGFR),间变性淋巴瘤激酶(ALK),c-ros癌基因1(ROS1),v-Raf鼠肉瘤病毒致癌基因同源物B(BRAF),并在转染期间重新排列(RET)基因。 虽然ALK,ROS1和RET是罕见的遗传异常,但相应的酪氨酸激酶抑制剂(TKIs)可以发挥显着的治疗效果。 除了靶向驱动基因的抗癌药物外,贝伐单抗还特异性结合人血管内皮生长因子(VEGF)并阻断VEGF信号通路。 VEGF信号阻断抑制肿瘤组织中的血管生成并抑制肿瘤生长。 在这篇综述中,我们还探索了免疫疗法,这是一种有前途的新型NSCLC治疗方法。 通常,癌症患者的抗肿瘤免疫应答受到抑制,癌细胞从免疫监视机制中逃脱。 免疫检查点抑制剂(ICI)是针对主要逃避机制,免疫检查点的抗体。 据报道,对ICI有反应的患者会经历长期的治疗效果。 正在开发广泛的临床方法,包括涉及化学疗法或放射加辅助疗法的联合疗法。

关键词: 非小细胞肺癌,EGFR,ALK,ROS-1,BRAF,RET,VEGF,免疫检查点抑制剂。

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