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针对 EGFR 突变阳性 NSCLC 的精准靶向治疗:困境与应对策略。

Precision targeted therapy for EGFR mutation-positive NSCLC: Dilemmas and coping strategies.

机构信息

Cancer Center, The First Hospital of Jilin University, Changchun, China.

出版信息

Thorac Cancer. 2023 May;14(13):1121-1134. doi: 10.1111/1759-7714.14858. Epub 2023 Apr 2.

Abstract

The most common driver gene mutation in patients with non-small-cell lung cancer (NSCLC) is an epidermal growth factor receptor (EGFR) mutation. With the introduction of EGFR-tyrosine kinase inhibitors, the treatment prospects and prognosis of NSCLC patients with EGFR-sensitive mutations have significantly improved. Nonetheless, therapies targeting NSCLC are still associated with a risk of primary or secondary nonclassical drug resistance mutations. In recent years, the research and methodology have led to the continuous discovery of new drugs and drug resistance targets. These explorations have also resulted in continuously discovering new drugs. Consequently, rapid advancements have been made to overcome NSCLC drug resistance. This study aimed to review the current dilemma of targeted therapy for EGFR mutation-positive NSCLC and the coping strategies for these difficulties.

摘要

非小细胞肺癌(NSCLC)患者中最常见的驱动基因突变是表皮生长因子受体(EGFR)突变。随着 EGFR 酪氨酸激酶抑制剂的引入,EGFR 敏感突变的 NSCLC 患者的治疗前景和预后有了显著改善。然而,针对 NSCLC 的治疗仍然存在原发性或继发性非经典耐药突变的风险。近年来,研究和方法学的进步不断推动了新药和耐药靶点的发现。这些探索也导致了新药物的不断涌现。因此,克服 NSCLC 耐药性的进展也十分迅速。本研究旨在回顾 EGFR 突变阳性 NSCLC 靶向治疗的现状困境以及应对这些困难的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb19/10151140/6fa315decbed/TCA-14-1121-g002.jpg

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