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新兴靶向治疗药物在转移性结直肠癌治疗中的研究进展

A review on emerging targeted therapies for the management of metastatic colorectal cancers.

机构信息

Institute of Pharmaceutical Research, GLA University, Mathura, 281406, India.

出版信息

Med Oncol. 2023 Apr 25;40(6):159. doi: 10.1007/s12032-023-02020-x.

DOI:10.1007/s12032-023-02020-x
PMID:37097307
Abstract

Colorectal cancers are among the most commonly found cancers over the world. In spite of the recent advancements in diagnosis and prognosis, the management of this metastatic condition remains a challenge. The utility of monoclonal antibodies in the healing of patients with colorectal cancer has opened a new chapter in the quest for newer therapies. The resistance to the standard treatment regimen made it mandatory to search for newer targets. Mutagenic alterations in the gene engaged in cellular differentiation and growth pathway have been the reason for resistance to treatment. The newer therapies target the various proteins and receptors involved in the signal transduction and down streaming pathways leading to cell proliferation. This review presents an insight into the newer targeted therapies for colorectal cancer involving tyrosine kinase blockers, epidermal growth factor receptors, vascular endothelial growth factor, immune checkpoint therapy, and BRAF inhibitors.

摘要

结直肠癌是世界上最常见的癌症之一。尽管最近在诊断和预后方面取得了进展,但这种转移性疾病的治疗仍然是一个挑战。单克隆抗体在治疗结直肠癌患者中的应用为寻求新的治疗方法开辟了新篇章。对标准治疗方案的耐药性使得寻找新的靶点成为必要。参与细胞分化和生长途径的基因发生突变改变是治疗耐药的原因。新的治疗方法针对参与信号转导和下游途径导致细胞增殖的各种蛋白质和受体。这篇综述介绍了涉及酪氨酸激酶抑制剂、表皮生长因子受体、血管内皮生长因子、免疫检查点治疗和 BRAF 抑制剂的结直肠癌的新型靶向治疗。

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A review on emerging targeted therapies for the management of metastatic colorectal cancers.新兴靶向治疗药物在转移性结直肠癌治疗中的研究进展
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Advances in Precision Medicine Approaches for Colorectal Cancer: From Molecular Profiling to Targeted Therapies.结直肠癌精准医学方法的进展:从分子剖析到靶向治疗。
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本文引用的文献

1
Emerging Therapeutic Agents for Colorectal Cancer.结直肠癌的新兴治疗药物。
Molecules. 2021 Dec 9;26(24):7463. doi: 10.3390/molecules26247463.
2
Pembrolizumab in Microsatellite-Instability-High Advanced Colorectal Cancer.帕博利珠单抗治疗微卫星高度不稳定型晚期结直肠癌。
N Engl J Med. 2020 Dec 3;383(23):2207-2218. doi: 10.1056/NEJMoa2017699.
3
Protocol of the QUATTRO-II study: a multicenter randomized phase II study comparing CAPOXIRI plus bevacizumab with FOLFOXIRI plus bevacizumab as a first-line treatment in patients with metastatic colorectal cancer.
发现一种硝基芳香族纳曲酮,通过靶向 AKT1 对结直肠癌具有强大的体内抗癌活性。
Acta Pharmacol Sin. 2024 May;45(5):1044-1059. doi: 10.1038/s41401-024-01231-w. Epub 2024 Feb 7.
4
Recent Insight into Herbal Bioactives-based Novel Approaches for Chronic Intestinal Inflammatory Disorders Therapy.基于草药生物活性的慢性肠道炎症性疾病治疗新方法的最新研究进展。
Curr Pharm Biotechnol. 2024;25(14):1835-1857. doi: 10.2174/0113892010282432231222060355.
5
Tumor Microenvironment Remodeling in Gastrointestinal Cancer: Role of miRNAs as Biomarkers of Tumor Invasion.胃肠道癌中的肿瘤微环境重塑:微小RNA作为肿瘤侵袭生物标志物的作用
Biomedicines. 2023 Jun 19;11(6):1761. doi: 10.3390/biomedicines11061761.
QUATTRO-II 研究方案:一项多中心随机二期研究,比较 CAPOXIRI 联合贝伐珠单抗与 FOLFOXIRI 联合贝伐珠单抗作为转移性结直肠癌患者一线治疗的疗效。
BMC Cancer. 2020 Jul 23;20(1):687. doi: 10.1186/s12885-020-07186-5.
4
Incorporating traditional and emerging biomarkers in the clinical management of metastatic colorectal cancer: an update.纳入传统和新兴生物标志物用于转移性结直肠癌的临床管理:更新。
Expert Rev Mol Diagn. 2020 Jul;20(7):653-664. doi: 10.1080/14737159.2020.1782194. Epub 2020 Jun 22.
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The FDA Changed Everything.美国食品药品监督管理局改变了一切。
Biomed Hub. 2017 Nov 21;2(Suppl 1):52-54. doi: 10.1159/000481614. eCollection 2017 Nov-Dec.
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Chimeric Antigen Receptor T-Cell Therapy for Colorectal Cancer.嵌合抗原受体T细胞疗法治疗结直肠癌
J Clin Med. 2020 Jan 9;9(1):182. doi: 10.3390/jcm9010182.
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Colorectal cancer.结直肠癌。
Lancet. 2019 Oct 19;394(10207):1467-1480. doi: 10.1016/S0140-6736(19)32319-0.
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N Engl J Med. 2019 Oct 24;381(17):1632-1643. doi: 10.1056/NEJMoa1908075. Epub 2019 Sep 30.
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