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肺癌患者罕见突变的治疗

Treatment of Rare Mutations in Patients with Lung Cancer.

作者信息

Taha Tarek, Khoury Rasha, Brenner Ronen, Nasrallah Haitam, Shofaniyeh Irena, Yousef Samih, Agbarya Abed

机构信息

Oncology Institute, Technion Faculty of Medicine, Rambam Health Care Campus, 8 HaAliyah HaShniyah Street, 3525408 Haifa, Israel.

Bnai-Zion Medical Center, Oncology Institute, Technion Faculty of Medicine, 47 Golomb Avenue, 3339419 Haifa, Israel.

出版信息

Biomedicines. 2021 May 11;9(5):534. doi: 10.3390/biomedicines9050534.

Abstract

Lung cancer is a worldwide prevalent malignancy. This disease has a low survival rate due to diagnosis at a late stage challenged by the involvement of metastatic sites. Non-small-cell lung cancer (NSCLC) is presented in 85% of cases. The last decade has experienced substantial advancements in scientific research, leading to a novel targeted therapeutic approach. The newly developed pharmaceutical agents are aimed towards specific mutations, detected in individual patients inflicted by lung cancer. These drugs have longer and improved response rates compared to traditional chemotherapy. Recent studies were able to identify rare mutations found in pulmonary tumors. Among the gene alterations detected were mesenchymal epithelial transition factor (MET), human epidermal growth factor 2 (HER2), B-type Raf kinase (BRAF), c-ROS proto-oncogene (ROS1), rearranged during transfection (RET) and neurotrophic tyrosine kinase (NTRK). Ongoing clinical trials are gaining insight onto possible first and second lines of medical treatment options intended to enable progression-free survival to lung cancer patients.

摘要

肺癌是一种全球流行的恶性肿瘤。由于在疾病晚期才被诊断出来,且存在转移灶的影响,这种疾病的生存率较低。非小细胞肺癌(NSCLC)占病例的85%。在过去十年中,科研取得了重大进展,从而产生了一种新型的靶向治疗方法。新开发的药物针对肺癌患者个体中检测到的特定突变。与传统化疗相比,这些药物具有更长且更好的缓解率。最近的研究能够识别出在肺部肿瘤中发现的罕见突变。检测到的基因改变包括间充质上皮转化因子(MET)、人表皮生长因子2(HER2)、B型Raf激酶(BRAF)、c-ROS原癌基因(ROS1)、转染重排(RET)和神经营养性酪氨酸激酶(NTRK)。正在进行的临床试验正在深入了解可能的一线和二线治疗方案,旨在使肺癌患者实现无进展生存。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11b8/8151457/6fc0c2bf9372/biomedicines-09-00534-g001.jpg

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