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非小细胞肺癌的现代疗法。

Modern therapies of nonsmall cell lung cancer.

机构信息

Department of Biochemistry and Molecular Biology, Poznań University of Medical Sciences, Święcickiego 6 Street, 60-781, Poznań, Poland.

Institute of Human Genetics, Polish Academy of Sciences, Strzeszyńska 32 Street, 60-479, Poznań, Poland.

出版信息

J Appl Genet. 2023 Dec;64(4):695-711. doi: 10.1007/s13353-023-00786-4. Epub 2023 Sep 12.

DOI:10.1007/s13353-023-00786-4
PMID:37698765
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10632224/
Abstract

Lung cancer (LC), particularly nonsmall cell lung cancer (NSCLC), is one of the most prevalent types of neoplasia worldwide, regardless of gender, with the highest mortality rates in oncology. Over the years, treatment for NSCLC has evolved from conventional surgery, chemotherapy, and radiotherapy to more tailored and minimally invasive approaches. The use of personalised therapies has increased the expected efficacy of treatment while simultaneously reducing the frequency of severe adverse effects (AEs). In this review, we discuss established modern approaches, including immunotherapy and targeted therapy, as well as experimental molecular methods like clustered regularly interspaced short palindromic repeat (CRISPR) and nanoparticles. These emerging methods offer promising outcomes and shorten the recovery time for various patients. Recent advances in the diagnostic field, including imaging and genetic profiling, have enabled the implementation of these methods. The versatility of these modern therapies allows for multiple treatment options, such as single-agent use, combination with existing conventional treatments, or incorporation into new regimens. As a result, patients can survive even in the advanced stages of NSCLC, leading to increased survival indicators such as overall survival (OS) and progression-free survival (PFS).

摘要

肺癌(LC),尤其是非小细胞肺癌(NSCLC),是全球最常见的肿瘤类型之一,无论性别如何,在肿瘤学中死亡率最高。多年来,NSCLC 的治疗已经从传统的手术、化疗和放疗发展到更具针对性和微创的方法。个性化治疗的使用提高了治疗的预期疗效,同时降低了严重不良反应(AE)的频率。在这篇综述中,我们讨论了已确立的现代方法,包括免疫疗法和靶向治疗,以及实验性分子方法,如成簇规律间隔短回文重复(CRISPR)和纳米颗粒。这些新兴方法为各种患者提供了有希望的结果,并缩短了恢复时间。诊断领域的最新进展,包括成像和基因分析,使这些方法得以实施。这些现代疗法的多功能性允许多种治疗选择,例如单一药物治疗、与现有常规治疗联合使用或纳入新方案。因此,即使在 NSCLC 的晚期阶段,患者也能存活,导致总生存率(OS)和无进展生存率(PFS)等生存指标增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19c0/10632224/46673c3155aa/13353_2023_786_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19c0/10632224/52ee42d1e4f4/13353_2023_786_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19c0/10632224/e80bd06eef55/13353_2023_786_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19c0/10632224/3e83848ad2ee/13353_2023_786_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19c0/10632224/46673c3155aa/13353_2023_786_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19c0/10632224/52ee42d1e4f4/13353_2023_786_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19c0/10632224/e80bd06eef55/13353_2023_786_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19c0/10632224/3e83848ad2ee/13353_2023_786_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19c0/10632224/46673c3155aa/13353_2023_786_Fig4_HTML.jpg

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