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希望与失望:用于克服非小细胞肺癌耐药性的共价抑制剂

Hope and Disappointment: Covalent Inhibitors to Overcome Drug Resistance in Non-Small Cell Lung Cancer.

作者信息

Engel Julian, Lategahn Jonas, Rauh Daniel

机构信息

Faculty of Chemistry and Chemical Biology, TU Dortmund University , Otto-Hahn-Straße 4a, D-44227 Dortmund, Germany.

出版信息

ACS Med Chem Lett. 2015 Dec 18;7(1):2-5. doi: 10.1021/acsmedchemlett.5b00475. eCollection 2016 Jan 14.

DOI:10.1021/acsmedchemlett.5b00475
PMID:26819655
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4716607/
Abstract

In the last five years, the detailed understanding of how to overcome T790M drug resistance in non-small cell lung cancer (NSCLC) has culminated in the development of a third-generation of covalent EGFR inhibitors with excellent clinical outcomes. However, the emergence of a newly discovered acquired drug resistance challenges the concept of small molecule targeted cancer therapy in NSCLC.

摘要

在过去五年中,对于如何克服非小细胞肺癌(NSCLC)中T790M耐药性的深入理解,最终促成了具有出色临床疗效的第三代共价表皮生长因子受体(EGFR)抑制剂的研发。然而,新发现的获得性耐药的出现,对NSCLC中小分子靶向癌症治疗的理念提出了挑战。

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本文引用的文献

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Acquired EGFR C797S mutation mediates resistance to AZD9291 in non-small cell lung cancer harboring EGFR T790M.获得性表皮生长因子受体(EGFR)C797S突变介导携带EGFR T790M的非小细胞肺癌对AZD9291耐药。
Nat Med. 2015 Jun;21(6):560-2. doi: 10.1038/nm.3854. Epub 2015 May 4.
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Rociletinib in EGFR-mutated non-small-cell lung cancer.罗西替尼治疗 EGFR 突变型非小细胞肺癌。
N Engl J Med. 2015 Apr 30;372(18):1700-9. doi: 10.1056/NEJMoa1413654.
3
AZD9291 in EGFR inhibitor-resistant non-small-cell lung cancer.阿法替尼治疗表皮生长因子受体抑制剂耐药的非小细胞肺癌
N Engl J Med. 2015 Apr 30;372(18):1689-99. doi: 10.1056/NEJMoa1411817.
4
Resistance mechanisms for the Bruton's tyrosine kinase inhibitor ibrutinib.伊布替尼的布鲁顿酪氨酸激酶抑制剂耐药机制。
N Engl J Med. 2014 Jun 12;370(24):2286-94. doi: 10.1056/NEJMoa1400029. Epub 2014 May 28.
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Analysis of tumor specimens at the time of acquired resistance to EGFR-TKI therapy in 155 patients with EGFR-mutant lung cancers.155 例 EGFR 突变型肺癌患者获得性 EGFR-TKI 治疗耐药时的肿瘤标本分析。
Clin Cancer Res. 2013 Apr 15;19(8):2240-7. doi: 10.1158/1078-0432.CCR-12-2246. Epub 2013 Mar 7.
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Irreversible protein kinase inhibitors: balancing the benefits and risks.不可逆蛋白激酶抑制剂:权衡利弊
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7
Afatinib versus placebo for patients with advanced, metastatic non-small-cell lung cancer after failure of erlotinib, gefitinib, or both, and one or two lines of chemotherapy (LUX-Lung 1): a phase 2b/3 randomised trial.阿法替尼对比安慰剂用于厄洛替尼、吉非替尼治疗失败或两者都失败,以及一线或二线化疗后进展、转移性非小细胞肺癌患者(LUX-Lung 1):一项 2b/3 期随机试验。
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BIBW2992, an irreversible EGFR/HER2 inhibitor highly effective in preclinical lung cancer models.BIBW2992,一种在临床前肺癌模型中高度有效的不可逆表皮生长因子受体/人表皮生长因子受体2抑制剂。
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Structural insights into how irreversible inhibitors can overcome drug resistance in EGFR.关于不可逆抑制剂如何克服表皮生长因子受体(EGFR)耐药性的结构见解。
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