Liu Yujie, Tian Panwen
Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, China.
Zhongguo Fei Ai Za Zhi. 2019 Feb 20;22(2):118-124. doi: 10.3779/j.issn.1009-3419.2019.02.07.
Lung cancer is the most commonly diagnosed cancer worldwide. Malignant pleural effusion (MPE) caused by advanced lung cancer seriously affect the patients' quality of life and prognosis. The management of MPE includes thoracentesis, pleurodesis, indwelling pleural catheters and drug perfusion in pleural cavity. Vascular endothelial growth factor (VEGF) and its receptor are a group of important ligands and receptors that affect angiogenesis. They are the main factors controlling angiogenesis, and they play an important role in the formation of MPE. Bevacizumab is a recombinant humanized VEGF monoclonal antibody, competitively binding to endogenous VEGF receptor. Bevacizumab can inhibit new blood vessel formation, reduce vascular permeability, prevent pleural effusion accumulation and slow the growth of cancers. This review aims to discuss the progress of bevacizumab in the treatment of MPE caused by non-small cell lung cancer (NSCLC), and explore the clinical application, efficacy, safety and future direction of bevacizumab. .
肺癌是全球最常被诊断出的癌症。晚期肺癌引起的恶性胸腔积液(MPE)严重影响患者的生活质量和预后。MPE的治疗方法包括胸腔穿刺术、胸膜固定术、留置胸腔导管和胸腔内药物灌注。血管内皮生长因子(VEGF)及其受体是影响血管生成的一组重要配体和受体。它们是控制血管生成的主要因素,在MPE的形成中起重要作用。贝伐单抗是一种重组人源化VEGF单克隆抗体,可竞争性结合内源性VEGF受体。贝伐单抗可抑制新血管形成,降低血管通透性,防止胸腔积液积聚并减缓癌症生长。本综述旨在探讨贝伐单抗在治疗非小细胞肺癌(NSCLC)所致MPE方面的进展,并探索贝伐单抗的临床应用、疗效、安全性及未来发展方向。