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实体瘤的靶向治疗:现状与未来展望。

Targeted therapies for solid tumors: current status and future perspectives.

机构信息

Burson Marsteller AG, Grubenstrasse 40, Zürich, Switzerland.

出版信息

BioDrugs. 2010 Oct 1;24(5):303-16. doi: 10.2165/11535880-000000000-00000.

Abstract

The therapeutic benefits of targeted clinical interventions with increased selectivity and fewer adverse effects hold great promise in the treatment of solid malignancies, both in monotherapy and in combination. Molecular targeted therapies offer increasingly customized solutions based on the targeting of multiple specific pathways essential for cancer development and metastasis, allowing the maintenance of quality of life while efficiently attacking the tumor. To date, several monoclonal antibodies (mAbs) and small-molecule inhibitors have been approved for the treatment of colorectal, breast, head and neck, non-small cell lung and renal cell cancer. A number of additional targeted therapies are currently being investigated in ongoing clinical trials in various tumor types such as lung, gastric, cervical, uterine melanoma, and brain tumors. This article describes current and newly developed targeted therapies in solid tumors, with a special focus on tyrosine kinase inhibitors. These include mAbs and small-molecule inhibitors that aim to specifically disrupt receptor signaling pathways, which are essential for proliferation, survival and migration of tumor cells.

摘要

靶向临床干预的治疗益处具有更高的选择性和更少的不良反应,在实体恶性肿瘤的治疗中具有很大的前景,无论是单药治疗还是联合治疗。分子靶向治疗根据癌症发展和转移所必需的多个特定途径的靶向提供了越来越多的定制解决方案,在有效攻击肿瘤的同时保持生活质量。迄今为止,已有几种单克隆抗体(mAbs)和小分子抑制剂被批准用于治疗结直肠癌、乳腺癌、头颈部癌、非小细胞肺癌和肾细胞癌。目前正在各种肿瘤类型(如肺癌、胃癌、宫颈癌、子宫癌黑色素瘤和脑肿瘤)的正在进行的临床试验中研究许多其他的靶向治疗。本文描述了实体肿瘤中当前和新开发的靶向治疗方法,特别关注酪氨酸激酶抑制剂。这些包括旨在特异性破坏受体信号通路的 mAbs 和小分子抑制剂,这些信号通路对于肿瘤细胞的增殖、存活和迁移至关重要。

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