McLaughlin Jessica, Berkman Jonathan, Nana-Sinkam Patrick
Department of Internal Medicine, Division of Pulmonary Disease and Critical Care Medicine, Virginia Commonwealth University Health System, Richmond, VA 23298.
Department of Internal Medicine, Division of Hematology, Oncology and Palliative Care, Virginia Commonwealth University Health System, Richmond, VA 23298.
Fac Rev. 2023 Sep 4;12:22. doi: 10.12703/r/12-22. eCollection 2023.
Lung cancer is the leading cause of malignancy-related death in the United States and the second most common cancer diagnosis worldwide. In the last two decades, lung cancer treatment has evolved to include advances in the development of mutation-based targeting, immunotherapy, radiation therapy, and minimally invasive surgical techniques. The discovery of lung cancer as a molecularly heterogeneous disease has driven investigation into the development of targeted therapies resulting in improved patient outcomes. Despite these advances, there remain opportunities, through further investigation of mechanisms of resistance, to develop novel therapeutics that better direct the personalization of lung cancer therapy. In this review, we highlight developments in the evolution of targeted therapies in non-small cell lung cancer, as well as future directions shaped by emerging patterns of resistance.
肺癌是美国恶性肿瘤相关死亡的主要原因,也是全球第二常见的癌症诊断类型。在过去二十年中,肺癌治疗已发展到包括基于突变的靶向治疗、免疫治疗、放射治疗和微创外科技术的进展。肺癌作为一种分子异质性疾病的发现推动了对靶向治疗发展的研究,从而改善了患者的治疗效果。尽管取得了这些进展,但通过进一步研究耐药机制,仍有机会开发出能更好地指导肺癌治疗个性化的新型疗法。在本综述中,我们重点介绍了非小细胞肺癌靶向治疗的发展历程,以及由新出现的耐药模式所塑造的未来方向。