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肺癌中的血管生成:了解生长因子的作用

Angiogenesis in Lung Cancer: Understanding the Roles of Growth Factors.

作者信息

Ngaha Tchawe Yvan Sinclair, Zhilenkova Angelina V, Essogmo Freddy Elad, Uchendu Ikenna K, Abah Moses Owoicho, Fossa Lionel Tabola, Sangadzhieva Zaiana D, D Sanikovich Varvara, S Rusanov Alexander, N Pirogova Yuliya, Boroda Alexander, Rozhkov Alexander, Kemfang Ngowa Jean D, N Bagmet Leonid, I Sekacheva Marina

机构信息

Institute for Personalized Oncology, Center for Digital Biodesign and Personalized Healthcare, First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University), 8-2 Trubetskaya str., Moscow 119991, Russia.

Department of Public Health, James Lind Institute, Rue de la Cité 1, 1204 Geneva, Switzerland.

出版信息

Cancers (Basel). 2023 Sep 20;15(18):4648. doi: 10.3390/cancers15184648.

Abstract

Research has shown the role of growth factors in lung cancer angiogenesis. Angiogenesis promotes lung cancer progression by stimulating tumor growth, enhancing tumor invasion, contributing to metastasis, and modifying immune system responses within the tumor microenvironment. As a result, new treatment techniques based on the anti-angiogenic characteristics of compounds have been developed. These compounds selectively block the growth factors themselves, their receptors, or the downstream signaling pathways activated by these growth factors. The EGF and VEGF families are the primary targets in this approach, and several studies are being conducted to propose anti-angiogenic drugs that are increasingly suitable for the treatment of lung cancer, either as monotherapy or as combined therapy. The efficacy of the results are encouraging, but caution must be placed on the higher risk of toxicity, outlining the importance of personalized follow-up in the management of these patients.

摘要

研究已表明生长因子在肺癌血管生成中的作用。血管生成通过刺激肿瘤生长、增强肿瘤侵袭、促进转移以及改变肿瘤微环境中的免疫系统反应来推动肺癌进展。因此,已开发出基于化合物抗血管生成特性的新治疗技术。这些化合物选择性地阻断生长因子本身、其受体或由这些生长因子激活的下游信号通路。表皮生长因子(EGF)和血管内皮生长因子(VEGF)家族是这种治疗方法的主要靶点,目前正在进行多项研究,以提出越来越适合治疗肺癌的抗血管生成药物,无论是作为单一疗法还是联合疗法。结果的疗效令人鼓舞,但必须注意更高的毒性风险,这凸显了对这些患者进行个性化随访管理的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8c4/10526378/ce328b2b8f58/cancers-15-04648-g001.jpg

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