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抗血管生成疗法在非小细胞肺癌治疗中的应用

Anti-Angiogenic Therapy in the Treatment of Non-Small Cell Lung Cancer.

作者信息

Tian Wentao, Cao Chenghui, Shu Long, Wu Fang

机构信息

Department of Oncology, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan, People's Republic of China.

Xiangya School of Medicine, Central South University, Changsha 410013, Hunan, People's Republic of China.

出版信息

Onco Targets Ther. 2020 Nov 24;13:12113-12129. doi: 10.2147/OTT.S276150. eCollection 2020.

Abstract

Angiogenesis plays an essential role in the development of most solid tumors by delivering nutrients and oxygen to the tumor. Therefore, anti-angiogenic therapy, particularly anti-VEGF and anti-VEGF receptor (VEGFR) therapy, has been a popular strategy to treat cancer. However, anti-angiogenic therapy does not significantly improve patients' outcomes when used alone because the cutdown of the vessels transforms tumor cells to a hypoxia-tolerant phenotype. While combining anti-angiogenic therapy with other therapies, including chemotherapy, radiotherapy, immunotherapy, and anti-epidermal growth factor receptor (EGFR) therapy, has a promising efficacy due to the vessel normalization effect induced by anti-angiogenic agents. Here, we review the characteristics of tumor angiogenesis, the mechanisms, clinical applications, and prospects of combining anti-angiogenic therapy with other therapies in the treatment of non-small cell lung cancer.

摘要

血管生成通过为肿瘤提供营养和氧气,在大多数实体瘤的发展过程中发挥着至关重要的作用。因此,抗血管生成疗法,尤其是抗血管内皮生长因子(VEGF)和抗VEGF受体(VEGFR)疗法,一直是治疗癌症的常用策略。然而,单独使用抗血管生成疗法并不能显著改善患者的预后,因为血管的减少会使肿瘤细胞转变为耐缺氧表型。虽然将抗血管生成疗法与其他疗法(包括化疗、放疗、免疫疗法和抗表皮生长因子受体(EGFR)疗法)联合使用,由于抗血管生成药物诱导的血管正常化作用而具有良好的疗效。在此,我们综述了肿瘤血管生成的特征、抗血管生成疗法与其他疗法联合治疗非小细胞肺癌的机制、临床应用及前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c821/7699985/63c5c8777d0f/OTT-13-12113-g0001.jpg

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