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抗表皮生长因子受体/ BRAF酪氨酸激酶抑制剂在甲状腺癌中的应用

Anti-EGFR/BRAF-Tyrosine Kinase Inhibitors in Thyroid Carcinoma.

作者信息

Papanikolaou Vasileios, Kyrodimos Efthymios, Mastronikolis Nicholas, Asimakopoulos Asimakis D, Papanastasiou George, Tsiambas Evangelos, Spyropoulou Despoina, Katsinis Spyros, Manoli Arezina, Papouliakos Sotirios, Pantos Pavlos, Ragos Vasileios, Peschos Dimitrios, Chrysovergis Aristeidis

机构信息

1st Department of Otorhinolaryngology, Hippocration Hospital, University of Athens, Athens, Greece.

Department of Otorhinolaryngology, Medical School, University of Patras, Patras, Greece.

出版信息

Cancer Diagn Progn. 2023 Mar 3;3(2):151-156. doi: 10.21873/cdp.10194. eCollection 2023 Mar-Apr.

Abstract

Alterations in significant genes located on chromosome 7 - including epidermal growth factor receptor (EGFR) and also v-Raf murine sarcoma viral oncogene homolog B (BRAF) as a mitogen-activated protein kinase (MAPK)  - combined or not with numerical imbalances of the whole chromosome (aneuploidy-polysomy) are crucial genetic events involved in the development and progression of malignancies. Identification of EGFR/BRAF-dependent specific somatic mutations and other mechanisms of deregulation (i.e., amplification) is critical for applying targeted therapeutic approaches [tyrosine kinase inhibitors (TKIs] or monoclonal antibodies (mAbs). Thyroid carcinoma is a specific pathological entity characterized by a variety of histological sub-types. Follicular thyroid carcinoma (FTC), papillary thyroid carcinoma (PTC), medullary thyroid carcinoma (MTC), and anaplastic thyroid carcinoma (ATC) represent its main sub-types. In the current review, we explore the role of EGFR/BRAF alterations in thyroid carcinoma in conjunction with the corresponding anti-EGFR/BRAF TKI-based novel therapeutic strategies for patients with specific genetic signatures.

摘要

位于7号染色体上的重要基因改变——包括表皮生长因子受体(EGFR)以及作为丝裂原活化蛋白激酶(MAPK)的v-Raf鼠肉瘤病毒癌基因同源物B(BRAF)——无论是否与整条染色体的数量失衡(非整倍体-多倍体)相结合,都是恶性肿瘤发生和发展过程中的关键遗传事件。识别EGFR/BRAF依赖性特异性体细胞突变和其他失调机制(即扩增)对于应用靶向治疗方法[酪氨酸激酶抑制剂(TKIs)或单克隆抗体(mAbs)]至关重要。甲状腺癌是一种具有多种组织学亚型的特定病理实体。滤泡状甲状腺癌(FTC)、乳头状甲状腺癌(PTC)、髓样甲状腺癌(MTC)和未分化甲状腺癌(ATC)是其主要亚型。在本综述中,我们探讨了EGFR/BRAF改变在甲状腺癌中的作用,并结合针对具有特定基因特征患者的基于抗EGFR/BRAF TKI的新型治疗策略。

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