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利用天然化合物靶向 KRAS 突变型非小细胞肺癌。

Using Natural Compounds to Target KRAS Mutated Non-Small Cell Lung Cancer.

机构信息

Dept. of Biochemistry and Molecular Biology, Jahangirnagar University, Dhaka, Bangladesh.

Dept. of Pharmacology and Toxicology, University of Otago, Dunedin, New Zealand.

出版信息

Curr Med Chem. 2021;28(39):8098-8115. doi: 10.2174/0929867328666210301105856.

Abstract

Approximately 85% of all lungs cancer cases are classified as non-small cell lung cancer (NSCLC). Kirsten rat sarcoma (KRAS) viral oncogene homolog mutations frequently occur in NSCLC patients resulting in a decreased overall survival. Additionally, currently used chemotherapeutic drugs lack selectivity,and patients experience side effects. Therefore, potent therapeutic agents are urgently needed for these patients. Plant- based compounds could be a potential option to treat KRAS-mutated NSCLC. These compounds are reported to be effective against the KRAS-linked up-stream and downstream signaling pathways that are directly or indirectly linked with cell proliferation, division, and apoptosis. Additionally, plant phytochemicals also suppressed different cell cycle phases of KRAS-mutant NSCLC cells. Furthermore, phytochemicals have a wider therapeutic index compared to chemotherapeutic drugs. Therefore, phytochemicals could benefit NSCLC patients as sole agents or as a combination therapy with approved chemotherapies. The current review aims to summarize the potential benefit of natural compounds in KRAS-mutant NSCLC.

摘要

约 85%的肺癌病例被归类为非小细胞肺癌 (NSCLC)。KRAS 病毒癌基因同源突变经常发生在 NSCLC 患者中,导致总生存期缩短。此外,目前使用的化疗药物缺乏选择性,患者会出现副作用。因此,这些患者迫切需要有效的治疗药物。基于植物的化合物可能是治疗 KRAS 突变型 NSCLC 的一个潜在选择。这些化合物被报道对 KRAS 相关的上游和下游信号通路有效,这些信号通路直接或间接地与细胞增殖、分裂和凋亡有关。此外,植物中的植物化学物质还抑制了 KRAS 突变型 NSCLC 细胞的不同细胞周期阶段。此外,植物化学物质的治疗指数比化疗药物更广。因此,植物化学物质可以作为单一药物或与已批准的化疗药物联合治疗 NSCLC 患者。本综述旨在总结天然化合物在 KRAS 突变型 NSCLC 中的潜在益处。

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