Song Peng, Zhang Li, Shang Congcong
Department of Respiratory Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing 100730, China.
Zhongguo Fei Ai Za Zhi. 2018 Sep 20;21(9):703-711. doi: 10.3779/j.issn.1009-3419.2018.09.10.
The incidence of ALK gene rearrangement in non-small cell lung cancer (NSCLC) was about 3% to 5%. ALK gene inhibitors have made great breakthrough in recent years, significantly extending the survival period of patients with ALK(+) advanced NSCLC. But the majority of patients will be acquired drug resistance after treatment. This article has been explained separately from the ALK genetic background, the detection method, the treatment of the three generations of ALK inhibitors and the strategy after drug resistance. It is desire to have reference value and reference meaning for clinical work. .
间变性淋巴瘤激酶(ALK)基因重排在非小细胞肺癌(NSCLC)中的发生率约为3%至5%。近年来,ALK基因抑制剂取得了重大突破,显著延长了ALK(+)晚期NSCLC患者的生存期。但大多数患者在治疗后会出现获得性耐药。本文从ALK基因背景、检测方法、三代ALK抑制剂的治疗以及耐药后的策略等方面进行了阐述,以期对临床工作有参考价值和借鉴意义。