Zhang Shuang, Liu Jingjing, Yang Changliang, Zhang Liang, Li Shuang, Bao Hao, Cheng Ying
Department of Thoracic Oncology, Jilin Provincial Cancer Hospital, Changchun 130012, China.
Zhongguo Fei Ai Za Zhi. 2020 Sep 20;23(9):806-810. doi: 10.3779/j.issn.1009-3419.2020.102.19. Epub 2020 Aug 5.
Small cell lung cancer (SCLC), characterized by early metastasis, relapse, relapse and resistance and poor prognosis, still faces difficulties in treatment. Recently, Immunotherapy is a novel treatment for SCLC, researchers are also eager to achieve a breakthrough in targeted treatment of SCLC. Genomic instability of SCLC and sensitivity to cytotoxic chemotherapy, therefore, poly ADP-ribose polymerase (PARP) inhibitors targeting DNA repair related pathways have become a hotspot in the research of SCLC targeted therapy. Studies on PARP inhibitors in SCLC have been conducted in combination with other therapeutic strategies, including the treatment of recurrent SCLC and first-line treatment,as well as maintenance treatment after induction. These studies also explored the predictive markers of PARP inhibitors in SCLC. Although the current results of PARP inhibitors in SCLC are limited, and the predictive markers are also inconsistent, we also see that PARP inhibitors could be a breakthroughfor precision medicine of SCLC. .
小细胞肺癌(SCLC)具有早期转移、复发、耐药且预后较差的特点,其治疗仍面临困难。近来,免疫疗法是SCLC的一种新型治疗方法,研究人员也渴望在SCLC的靶向治疗方面取得突破。由于SCLC的基因组不稳定以及对细胞毒性化疗敏感,因此,靶向DNA修复相关途径的聚ADP核糖聚合酶(PARP)抑制剂已成为SCLC靶向治疗研究的热点。针对SCLC的PARP抑制剂已与其他治疗策略联合开展了研究,包括复发性SCLC的治疗和一线治疗,以及诱导后的维持治疗。这些研究还探索了SCLC中PARP抑制剂的预测标志物。尽管目前PARP抑制剂在SCLC中的研究结果有限,且预测标志物也不一致,但我们也看到PARP抑制剂可能成为SCLC精准医学的一个突破。