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用于抗癌治疗的分子靶向治疗。

Molecular targeted therapy for anticancer treatment.

机构信息

College of Pharmacy and Research Institute of Pharmaceutical Sciences, Seoul National University, Seoul, Republic of Korea.

出版信息

Exp Mol Med. 2022 Oct;54(10):1670-1694. doi: 10.1038/s12276-022-00864-3. Epub 2022 Oct 12.


DOI:10.1038/s12276-022-00864-3
PMID:36224343
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9636149/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf94/9636149/41c4092cdde2/12276_2022_864_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf94/9636149/b29a4b2dbb34/12276_2022_864_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf94/9636149/41c4092cdde2/12276_2022_864_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf94/9636149/b29a4b2dbb34/12276_2022_864_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf94/9636149/41c4092cdde2/12276_2022_864_Fig2_HTML.jpg

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Molecular targeted therapy for anticancer treatment.

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本文引用的文献

[1]
Angiogenesis Inhibitors in Personalized Combination Regimens for the Treatment of Advanced Refractory Cancers.

Front Mol Med. 2021-9-20

[2]
Next Decade's AI-Based Drug Development Features Tight Integration of Data and Computation.

Health Data Sci. 2022-1-17

[3]
Foretinib can overcome common on-target resistance mutations after capmatinib/tepotinib treatment in NSCLCs with MET exon 14 skipping mutation.

J Hematol Oncol. 2022-6-11

[4]
Timeline of FDA-Approved Targeted Therapy for Cholangiocarcinoma.

Cancers (Basel). 2022-5-26

[5]
Resistance to targeted therapies: delving into FLT3 and IDH.

Blood Cancer J. 2022-6-9

[6]
The multi-molecular mechanisms of tumor-targeted drug resistance in precision medicine.

Biomed Pharmacother. 2022-6

[7]
Adagrasib in Non-Small-Cell Lung Cancer Harboring a Mutation.

N Engl J Med. 2022-7-14

[8]
More to the RAS Story: KRAS Inhibition, Resistance Mechanisms, and Moving Beyond KRAS.

Am Soc Clin Oncol Educ Book. 2022-4

[9]
Third-generation EGFR and ALK inhibitors: mechanisms of resistance and management.

Nat Rev Clin Oncol. 2022-8

[10]
FDA Approval Summary: Decitabine and Cedazuridine Tablets for Myelodysplastic Syndromes.

Clin Cancer Res. 2022-8-15

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