Department of Pharmacy, Children's Hospital Affiliated to Zhengzhou University, Henan Children's Hospital, Zhengzhou Children's Hospital, Zhengzhou, 450018, China.
Department of Pharmacy, Children's Hospital Affiliated to Zhengzhou University, Henan Children's Hospital, Zhengzhou Children's Hospital, Zhengzhou, 450018, China; First People's Hospital of Shangqiu, Henan Province, Shangqiu, 476100, China.
Eur J Med Chem. 2023 Dec 5;261:115868. doi: 10.1016/j.ejmech.2023.115868. Epub 2023 Oct 11.
Lung cancer continues to pose a significant challenge as a prominent contributor to global cancer-related mortality. Despite the considerable strides made in therapeutic interventions within the past decade, a substantial population of patients diagnosed with non-small cell lung cancer (NSCLC) still face the grim reality of an incurable condition. In the realm of optimal management strategies for individuals afflicted with locally advanced, yet amenable to surgical resection, NSCLC, a therapeutic approach encompassing chemoradiation stands as a fundamental component. Significant strides have been made in the therapeutic landscape of NSCLC during the preceding two decades, facilitating an enhanced comprehension of the underlying disease biology, and mechanisms governing tumor progression, as well as advancements in early detection modalities and multimodal therapeutic interventions. Nevertheless, the overall rates of curative interventions and survival outcomes for NSCLC continue to exhibit a discouragingly low trajectory, particularly in the context of metastatic disease. Hence, the imperative for sustained research endeavors in the realm of novel pharmaceutical agents and combinatorial therapeutic approaches remains paramount, with the overarching objective of broadening the scope of clinical advantages conferred upon a wider demographic of patients, thereby fostering tangible improvements in outcomes pertaining to NSCLC. The primary objective of this review is to provide an all-encompassing examination encompassing the clinical application and synthetic routes of specific drugs, with the explicit aim of disseminating invaluable knowledge that can inform future research and development endeavors focused on NSCLC.
肺癌仍然是一个重大的挑战,是导致全球癌症相关死亡率的主要原因。尽管在过去十年中治疗干预方面取得了相当大的进展,但仍有相当一部分被诊断为非小细胞肺癌(NSCLC)的患者面临着无法治愈的残酷现实。在局部晚期但可手术切除的 NSCLC 患者的最佳管理策略领域,包含放化疗的治疗方法是一个基本组成部分。在过去的二十年中,NSCLC 的治疗领域取得了重大进展,这有助于增强对疾病生物学和肿瘤进展机制的理解,以及早期检测模式和多模式治疗干预的进步。然而,NSCLC 的治愈干预和生存结果的总体率仍然呈令人沮丧的低轨迹,特别是在转移性疾病的情况下。因此,持续进行新型药物制剂和联合治疗方法的研究努力仍然至关重要,目标是扩大临床优势的范围,惠及更广泛的患者群体,从而切实改善 NSCLC 的结果。本综述的主要目的是全面考察特定药物的临床应用和合成途径,旨在传播宝贵的知识,为未来专注于 NSCLC 的研究和开发工作提供信息。