College of Pharmacy and Research Institute of Pharmaceutical Sciences, Seoul National University, Seoul, Republic of Korea.
Exp Mol Med. 2022 Oct;54(10):1670-1694. doi: 10.1038/s12276-022-00864-3. Epub 2022 Oct 12.
Since the initial clinical approval in the late 1990s and remarkable anticancer effects for certain types of cancer, molecular targeted therapy utilizing small molecule agents or therapeutic monoclonal antibodies acting as signal transduction inhibitors has served as a fundamental backbone in precision medicine for cancer treatment. These approaches are now used clinically as first-line therapy for various types of human cancers. Compared to conventional chemotherapy, targeted therapeutic agents have efficient anticancer effects with fewer side effects. However, the emergence of drug resistance is a major drawback of molecular targeted therapy, and several strategies have been attempted to improve therapeutic efficacy by overcoming such resistance. Herein, we summarize current knowledge regarding several targeted therapeutic agents, including classification, a brief biology of target kinases, mechanisms of action, examples of clinically used targeted therapy, and perspectives for future development.
自 20 世纪 90 年代末首次获得临床批准以来,针对某些类型癌症的显著抗癌效果,利用小分子药物或作为信号转导抑制剂的治疗性单克隆抗体的分子靶向治疗已成为癌症治疗精准医学的基本支柱。这些方法现在作为各种人类癌症的一线治疗在临床上使用。与传统化疗相比,靶向治疗药物具有高效的抗癌作用,副作用较少。然而,耐药性的出现是分子靶向治疗的一个主要缺点,已经尝试了几种策略来通过克服这种耐药性来提高治疗效果。本文总结了几种靶向治疗药物的最新知识,包括分类、靶激酶的简要生物学、作用机制、临床应用的靶向治疗实例以及未来发展的展望。
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