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肺癌抗血管生成药物的现状与未来。

Current status and future of anti-angiogenic drugs in lung cancer.

机构信息

Department of Respiratory and Critical Care Medicine, Shanghai Public Health Clinical Center, Fudan University, Jinshan District, No. 2901, Caolang Road, Shanghai, 201508, People's Republic of China.

出版信息

Clin Exp Med. 2023 Oct;23(6):2009-2023. doi: 10.1007/s10238-023-01039-8. Epub 2023 Mar 15.

Abstract

Lung cancer, as a malignant tumor with both high incidence and mortality in China, is one of the major causes of death in our population and one of the major public health problems in China. Effective treatment of lung cancer is a major public health task for all human beings. Angiogenesis plays an important role in the development of tumor, not only as a basic condition for tumor growth, but also as a significant factor to promote tumor metastasis. Therefore, anti-angiogenesis has become a vital means to inhibit tumor development, and anti-angiogenic drugs can rebalance pro- and anti-angiogenic factors to inhibit tumor cells. This article reviews the mechanism of blood vessel formation in tumor tissues and the mechanism of action of different anti-angiogenic drugs, the combination therapy of anti-angiogenic drugs and other anti-tumor drugs, and the mechanism of anti-angiogenic drug resistance.

摘要

肺癌是中国发病率和死亡率均较高的恶性肿瘤之一,是我国人群死亡的主要原因之一,也是我国重大的公共卫生问题之一。有效治疗肺癌是全人类的一项重大公共卫生任务。血管生成在肿瘤的发生发展中起着重要作用,不仅是肿瘤生长的基本条件,也是促进肿瘤转移的重要因素。因此,抗血管生成已成为抑制肿瘤发展的重要手段,抗血管生成药物可以重新平衡促血管生成和抗血管生成因子,从而抑制肿瘤细胞。本文综述了肿瘤组织中血管形成的机制和不同抗血管生成药物的作用机制,抗血管生成药物与其他抗肿瘤药物的联合治疗,以及抗血管生成药物耐药的机制。

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