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奥希替尼获得性耐药机制——下一个挑战

Acquired Mechanisms of Resistance to Osimertinib-The Next Challenge.

作者信息

Ríos-Hoyo Alejandro, Moliner Laura, Arriola Edurne

机构信息

Department of Medical Oncology, Hospital del Mar-CIBERONC (Centro de Investigación Biomédica en Red de Oncología), 08003 Barcelona, Spain.

Cancer Research Program, IMIM (Institut Hospital del Mar d'Investigacions Mèdiques), 08003 Barcelona, Spain.

出版信息

Cancers (Basel). 2022 Apr 12;14(8):1931. doi: 10.3390/cancers14081931.

Abstract

EGFR-mutated tumors represent a significant percentage of non-small cell lung cancer. Despite the increasing use of osimertinib, a treatment that has demonstrated an outstanding clinical benefit with a tolerable toxicity profile, EGFR tumors eventually acquire mechanisms of resistance. In the last years, multiple mechanisms of resistance have been identified; however, after progressing on osimertinib, treatment options remain bleak. In this review, we cover the most frequent alterations and potential therapeutic strategies to overcome them.

摘要

表皮生长因子受体(EGFR)突变型肿瘤在非小细胞肺癌中占相当大的比例。尽管奥希替尼的使用越来越广泛,这种治疗方法已显示出显著的临床益处且毒性可耐受,但EGFR肿瘤最终仍会产生耐药机制。在过去几年中,已发现多种耐药机制;然而,在接受奥希替尼治疗病情进展后,治疗选择仍然有限。在本综述中,我们涵盖了最常见的改变以及克服这些改变的潜在治疗策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0813/9027936/3ef622a29ab8/cancers-14-01931-g001.jpg

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