Thoracic Oncology Program, Department of Surgery, University of California, San Francisco, CA 94115, USA.
Expert Rev Respir Med. 2010 Oct;4(5):631-45. doi: 10.1586/ers.10.64.
Claiming more than 150,000 lives each year, lung cancer is the deadliest cancer in the USA. First-line treatments in lung cancer include surgical resection and chemotherapy, the latter of which offers only modest survival benefits at the expense of often severe and debilitating side effects. Recent advances in elucidating the molecular biology of lung carcinogenesis have elucidated novel drug targets, and treatments are rapidly evolving into specialized agents that hone in on specific aspects of the disease. Of particular interest is blocking tumor growth by targeting the physiological processes surrounding angiogenesis, pro-tumorigenic growth factor activation, anti-apoptotic cascades and other cancer-promoting signal transduction events. This article looks at several areas of interest to lung cancer therapeutics and considers the current state of affairs surrounding the development of these therapies.
每年夺走超过 15 万人的生命,肺癌是美国最致命的癌症。肺癌的一线治疗包括手术切除和化疗,后者仅能带来适度的生存获益,但代价是通常严重且使人虚弱的副作用。近年来,阐明肺癌发生的分子生物学已经阐明了新的药物靶点,治疗方法迅速发展为专门针对疾病特定方面的药物。特别引人关注的是通过针对血管生成、促肿瘤生长因子激活、抗细胞凋亡级联和其他促进癌症的信号转导事件周围的生理过程来阻止肿瘤生长。本文探讨了肺癌治疗的几个感兴趣的领域,并考虑了这些治疗方法的发展现状。