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用于治疗结直肠癌的表皮生长因子受体抑制剂:承诺实现了吗?

Epidermal growth factor receptor inhibitors for the treatment of colorectal cancer: a promise fulfilled?

作者信息

Damjanov Nevena, Meropol Neal J

机构信息

Temple University, Fox Chase-Temple Cancer Center, Philadelphia, Pennsylvania 19140, USA.

出版信息

Oncology (Williston Park). 2004 Apr;18(4):479-88; discussion 488, 493, 497 passim.

PMID:15134356
Abstract

The epidermal growth factor receptor (EGFR) is commonly expressed in colorectal cancers but not in most normal tissues, raising the possibility that this receptor could serve as a target for highly selective therapy. Based on preclinical studies demonstrating that antagonists of EGFR resulted in the inhibition of tumor growth, the development of clinical reagents has been aggressively pursued. Early clinical studies demonstrated antitumor activity of EGFR inhibitors in patients with advanced colorectal cancer, with acceptable toxicity. This early success fueled rapid clinical development. In this article, we will review the current status of EGFR inhibitors in the treatment of patients with colorectal cancer, in an effort to describe both how far we have come as well as where we need to go in optimizing this promising therapeutic approach.

摘要

表皮生长因子受体(EGFR)在结直肠癌中普遍表达,但在大多数正常组织中不表达,这增加了该受体可作为高选择性治疗靶点的可能性。基于临床前研究表明EGFR拮抗剂可抑制肿瘤生长,人们积极开展临床试剂的研发。早期临床研究显示,EGFR抑制剂对晚期结直肠癌患者具有抗肿瘤活性,且毒性可接受。这一早期成功推动了快速的临床发展。在本文中,我们将回顾EGFR抑制剂在结直肠癌患者治疗中的现状,旨在阐述我们在这一有前景的治疗方法优化方面已经取得的进展以及未来的努力方向。

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Epidermal growth factor receptor inhibitors for the treatment of colorectal cancer: a promise fulfilled?用于治疗结直肠癌的表皮生长因子受体抑制剂:承诺实现了吗?
Oncology (Williston Park). 2004 Apr;18(4):479-88; discussion 488, 493, 497 passim.
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Epidermal growth factor receptor-targeted therapy in colorectal cancer.表皮生长因子受体靶向治疗在结直肠癌中的应用
Semin Oncol. 2002 Oct;29(5 Suppl 14):10-7. doi: 10.1053/sonc.2002.35643.
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Targeting the epidermal growth factor receptor in colorectal carcinoma.靶向结直肠癌中的表皮生长因子受体
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Clinical trials referral resource. Epidermal growth factor receptor inhibitors in clinical trials.临床试验推荐资源。表皮生长因子受体抑制剂的临床试验。
Oncology (Williston Park). 2001 Jun;15(6):748-50, 756-8.
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Epidermal growth factor receptor as a therapeutic target in colorectal cancer.表皮生长因子受体作为结直肠癌的治疗靶点
Clin Colorectal Cancer. 2003 Feb;2(4):246-51. doi: 10.3816/CCC.2003.n.006.
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A novel approach in the treatment of cancer: targeting the epidermal growth factor receptor.癌症治疗的一种新方法:靶向表皮生长因子受体。
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Epidermal growth factor receptor: pathway, therapies, and pipeline.表皮生长因子受体:通路、治疗方法和研发管线。
Clin Ther. 2013 Sep;35(9):1282-303. doi: 10.1016/j.clinthera.2013.08.007.
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Challenges in the use of epidermal growth factor receptor inhibitors in colorectal cancer.表皮生长因子受体抑制剂在结直肠癌治疗中的应用挑战。
Oncologist. 2006 Oct;11(9):1010-7. doi: 10.1634/theoncologist.11-9-1010.
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Epidermal growth factor receptor targeting in cancer.癌症中的表皮生长因子受体靶向治疗
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Combined epidermal growth factor receptor targeting with the tyrosine kinase inhibitor gefitinib (ZD1839) and the monoclonal antibody cetuximab (IMC-C225): superiority over single-agent receptor targeting.将表皮生长因子受体靶向治疗与酪氨酸激酶抑制剂吉非替尼(ZD1839)和单克隆抗体西妥昔单抗(IMC-C225)联合使用:优于单药受体靶向治疗。
Clin Cancer Res. 2004 Oct 1;10(19):6487-501. doi: 10.1158/1078-0432.CCR-04-0870.

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