Department of Pharmacology, L. M. College of Pharmacy, Navrangpura, Ahmedabad, Gujarat, 380009, India.
Pharm.D Section, L. M. College of Pharmacy, Navrangpura, Ahmedabad, Gujarat, 380009, India.
Med Oncol. 2023 Apr 18;40(5):152. doi: 10.1007/s12032-023-02005-w.
Lung cancer is amongst the most pervasive malignancies having high mortality rates. It is broadly grouped into non-small-cell lung cancer (NSCLC) and small-cell lung cancer (SCLC). The concept of personalized medicine has overshadowed the conventional chemotherapy given to all patients with lung cancer. The targeted therapy is given to a particular population having specific mutations to help in the better management of lung cancer. The targeting pathways for NSCLC include the epidermal growth factor receptor, vascular endothelial growth factor receptor, MET (Mesenchymal epithelial transition factor) oncogene, Kirsten rat sarcoma viral oncogene (KRAS), and anaplastic lymphoma kinase (ALK). SCLC targeting pathway includes Poly (ADP-ribose) polymerases (PARP) inhibitors, checkpoint kinase 1 (CHK 1) pathway, WEE1 pathway, Ataxia Telangiectasia and Rad3-related (ATR)/Ataxia telangiectasia mutated (ATM), and Delta-like canonical Notch ligand 3 (DLL-Immune checkpoint inhibitors like programmed cell death protein 1 (PD-1)/ programmed death-ligand 1 (PD-L1) inhibitors and Cytotoxic T-lymphocyte-associated antigen-4 (CTLA4) blockade are also utilized in the management of lung cancer. Many of the targeted therapies are still under development and require clinical trials to establish their safety and efficacy. This review summarizes the mechanism of molecular targets and immune-mediated targets, recently approved drugs, and their clinical trials for lung cancer.
肺癌是最普遍的恶性肿瘤之一,死亡率很高。它通常分为非小细胞肺癌(NSCLC)和小细胞肺癌(SCLC)。个性化医疗的概念已经取代了传统的肺癌化疗方案。靶向治疗用于特定的具有特定突变的人群,有助于更好地管理肺癌。NSCLC 的靶向途径包括表皮生长因子受体、血管内皮生长因子受体、MET(间质上皮转化因子)癌基因、Kirsten 大鼠肉瘤病毒癌基因(KRAS)和间变性淋巴瘤激酶(ALK)。SCLC 的靶向途径包括多聚(ADP-核糖)聚合酶(PARP)抑制剂、检查点激酶 1(CHK1)途径、WEE1 途径、共济失调毛细血管扩张症和 Rad3 相关(ATR)/共济失调毛细血管扩张症突变(ATM)以及 Delta 样经典 Notch 配体 3(DLL-Immune)。免疫检查点抑制剂如程序性细胞死亡蛋白 1(PD-1)/程序性死亡配体 1(PD-L1)抑制剂和细胞毒性 T 淋巴细胞相关抗原-4(CTLA4)阻断剂也用于肺癌的治疗。许多靶向治疗仍在开发中,需要临床试验来确定其安全性和有效性。这篇综述总结了分子靶点和免疫介导靶点的机制、最近批准的药物及其在肺癌中的临床试验。