Reinmuth Niels, Mesters Rolf M, Bieker Ralf, Hoffknecht Petra, Berdel Wolfgang E, Thomas Michael
Department of Medicine/Hematology, Oncology and Respiratory Medicine, University of Muenster, Albert-Schweitzer-Str. 33, D-48129 Muenster, Germany.
Lung Cancer. 2004 Aug;45 Suppl 2:S177-86. doi: 10.1016/j.lungcan.2004.07.976.
Cytotoxic therapy for lung-cancer patients has only moderately improved during the last decades. Simultaneously, efforts of intensive research to increase our understanding of the molecular basis of lung cancer have been undertaken. The cancer cell has been characterised by several genetic changes that lead to altered cellular functions. In addition, multiple factors of the cancer-cell environment further affect the tumour cell via various receptors and subsequent signaling pathways. The increased knowledge of cellular signaling offers the opportunity to develop novel substances that target specific pathway molecules. In the current review, some of the most essential receptors and signaling pathways involved in lung cancer will be described. In conjunction, examples of novel target-specific agents that have already found their way into clinical trials will be discussed.
在过去几十年中,肺癌患者的细胞毒性疗法仅有适度改善。与此同时,人们开展了深入研究,以增进对肺癌分子基础的理解。癌细胞具有多种导致细胞功能改变的基因变化。此外,癌细胞环境中的多种因素通过各种受体和后续信号通路进一步影响肿瘤细胞。细胞信号转导知识的增加为开发靶向特定通路分子的新型物质提供了机会。在本综述中,将描述一些肺癌中最关键的受体和信号通路。同时,还将讨论一些已进入临床试验的新型靶点特异性药物的实例。