Shtivelman Emma, Hensing Thomas, Simon George R, Dennis Phillip A, Otterson Gregory A, Bueno Raphael, Salgia Ravi
Cancer Commons, Palo Alto, CA, United States of America.
Oncotarget. 2014 Mar 30;5(6):1392-433. doi: 10.18632/oncotarget.1891.
Lung cancer is still the leading cause of cancer death worldwide. Both histologically and molecularly lung cancer is heterogeneous. This review summarizes the current knowledge of the pathways involved in the various types of lung cancer with an emphasis on the clinical implications of the increasing number of actionable molecular targets. It describes the major pathways and molecular alterations implicated in the development and progression of non-small cell lung cancer (adenocarcinoma and squamous cancer), and of small cell carcinoma, emphasizing the molecular alterations comprising the specific blueprints in each group. The approved and investigational targeted therapies as well as the immune therapies, and clinical trials exploring the variety of targeted approaches to treatment of lung cancer are the main focus of this review.
肺癌仍是全球癌症死亡的主要原因。在组织学和分子层面上,肺癌都是异质性的。本综述总结了目前关于各类肺癌相关通路的知识,重点关注了越来越多可作用分子靶点的临床意义。它描述了非小细胞肺癌(腺癌和鳞癌)以及小细胞癌发生和进展过程中涉及的主要通路和分子改变,强调了构成每组特定蓝图的分子改变。本综述的主要重点是已获批和正在研究的靶向治疗以及免疫治疗,还有探索各种肺癌靶向治疗方法的临床试验。