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[人表皮生长因子受体2阳性非小细胞肺癌的诊断与治疗进展]

[Advances in Diagnosis and Treatment of HER2-positive Non-small Cell Lung Cancer].

作者信息

Ren Chenyi, Cao He, Zheng Jing, Sun Wenjia, Zhou Jianya

机构信息

Department of Respiratory Disease, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu 322000, China.

Department of Respiratory Disease, Thoracic Disease Center, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310000, China.

出版信息

Zhongguo Fei Ai Za Zhi. 2023 Apr 20;26(4):291-302. doi: 10.3779/j.issn.1009-3419.2023.102.14.

Abstract

Lung cancer is the most common malignancy in the world and the leading cause of cancer death. Human epidermal growth factor receptor 2 (HER2) positive non-small cell lung cancer (NSCLC) refers to the NSCLC caused by mutation, amplification or overexpression of the HER2 gene, resulting in its dysfunction. HER2 is the most active receptor in the HER family and can combine with other members to form dimers, which can activate multiple signaling pathways and regulate cell proliferation, differentiation, migration and apoptosis. In NSCLC, HER2 positivity is usually considered a poor prognostic marker. At present, the diagnosis and treatment of HER2-positive NSCLC are not mature. Immunohistochemistry (IHC), next generation sequencing (NGS) and other technologies are often used to detect the positive status of HER2 mutation, amplification or overexpression. In previous studies, antitumor drugs did not show ideal therapeutic effects in HER2-positive NSCLC. However, in recent years, related researches have shown that antibody-drug conjugates (ADCs) and new tyrosine kinase inhibitors (TKIs) in targeted therapy show good antitumor activity against HER2 positive NSCLC. This article summarized the progress in diagnosis and treatment of HER2-positive NSCLC, so as to provide reference for subsequent researches.
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摘要

肺癌是全球最常见的恶性肿瘤,也是癌症死亡的主要原因。人表皮生长因子受体2(HER2)阳性非小细胞肺癌(NSCLC)是指由HER2基因的突变、扩增或过表达引起的NSCLC,导致其功能失调。HER2是HER家族中最活跃的受体,可与其他成员结合形成二聚体,激活多种信号通路,调节细胞增殖、分化、迁移和凋亡。在NSCLC中,HER2阳性通常被认为是预后不良的标志物。目前,HER2阳性NSCLC的诊断和治疗尚不成熟。免疫组织化学(IHC)、二代测序(NGS)等技术常被用于检测HER2突变、扩增或过表达的阳性状态。在以往的研究中,抗肿瘤药物在HER2阳性NSCLC中未显示出理想的治疗效果。然而,近年来相关研究表明,靶向治疗中的抗体药物偶联物(ADC)和新型酪氨酸激酶抑制剂(TKI)对HER2阳性NSCLC显示出良好的抗肿瘤活性。本文综述了HER2阳性NSCLC的诊断和治疗进展,为后续研究提供参考。

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