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非小细胞肺癌精准医学时代的不精确性。

Imprecision in the Era of Precision Medicine in Non-Small Cell Lung Cancer.

作者信息

Sundar Raghav, Chénard-Poirier Maxime, Collins Dearbhaile Catherine, Yap Timothy A

机构信息

Royal Marsden Hospital, London, UK.

Department of Haematology-Oncology, National University Cancer Institute of Singapore, Singapore, Singapore.

出版信息

Front Med (Lausanne). 2017 Apr 10;4:39. doi: 10.3389/fmed.2017.00039. eCollection 2017.

Abstract

Over the past decade, major advances have been made in the management of advanced non-small cell lung cancer (NSCLC). There has been a particular focus on the identification and targeting of putative driver aberrations, which has propelled NSCLC to the forefront of precision medicine. Several novel molecularly targeted agents have now achieved regulatory approval, while many others are currently in late-phase clinical trial testing. These antitumor therapies have significantly impacted the clinical outcomes of advanced NSCLC and provided patients with much hope for the future. Despite this, multiple deficiencies still exist in our knowledge of this complex disease, and further research is urgently required to overcome these critical issues. This review traces the path undertaken by the different therapeutics assessed in NSCLC and the impact of precision medicine in this disease. We also discuss the areas of "imprecision" that still exist in NSCLC and the modern hypothesis-testing studies being conducted to address these key challenges.

摘要

在过去十年中,晚期非小细胞肺癌(NSCLC)的管理取得了重大进展。人们特别关注假定驱动畸变的识别和靶向,这将NSCLC推向了精准医学的前沿。目前,几种新型分子靶向药物已获得监管批准,而其他许多药物正处于晚期临床试验阶段。这些抗肿瘤疗法显著影响了晚期NSCLC的临床结局,并为患者带来了对未来的很大希望。尽管如此,我们对这种复杂疾病的认识仍存在多个不足,迫切需要进一步研究来克服这些关键问题。本综述追溯了NSCLC中评估的不同疗法所走过的道路以及精准医学对该疾病的影响。我们还讨论了NSCLC中仍然存在的“不精准”领域以及为应对这些关键挑战而正在进行的现代假设检验研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/773c/5385461/5c193462919c/fmed-04-00039-g001.jpg

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