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非编码RNA在非小细胞肺癌对EGFR-TKIs靶向治疗耐药中的作用及治疗潜力

The Role and Therapeutic Potential of Non-coding RNAs in Resistance to EGFR-TKIs targeted therapy for Non-small Cell Lung Cancer.

作者信息

Zhang Yang, Chen Ye, Lu Li-Li, Xie Xiu-Li, Huan Ren, Wu Li-Fang, Tan Li-Na, Xu Tao, Jin Yong

机构信息

Key Laboratory of Anti-inflammatory and Immune Medicines, Ministry of Education, School of Pharmacy, Anhui Medical University, 230032, Hefei, China.

Inflammation and Immune-Mediated Diseases Laboratory of Anhui Province, School of Pharmacy, Hospital of Anhui Medical University, Anhui Medical University, 230032, Hefei, China.

出版信息

Curr Med Chem. 2024 Feb 16. doi: 10.2174/0109298673275752231219080500.

Abstract

Lung cancer is the leading cause of cancer-related deaths worldwide, of which non-small cell lung cancer (NSCLC) is the most common type, and epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) are widely used for the treatment of NSCLC. EGFR-TKIs are known to develop a drug-resistant response after a certain number of cycles of dosing, and how to alleviate or even reverse EGFR-TKI resistance is an urgent problem at present. This review focuses on the role of ncRNAs in the resistance of NSCLC to EGFR-TKIs and the potential mechanisms underlying the development of NSCLC resistance to EGFR-TKIs. NcRNAs are involved in NSCLC resistance to EGFR-TKIs by mediating cellular drug efflux, epithelial-mesenchymal transition, apoptosis, autophagy, and EGFR mutation. ncRNAs play a crucial role in NSCLC resistance to EGFR-TKIs. Hopefully, the results will provide some guidance and help for the treatment and prognosis of NSCLC.

摘要

肺癌是全球癌症相关死亡的主要原因,其中非小细胞肺癌(NSCLC)是最常见的类型,表皮生长因子受体酪氨酸激酶抑制剂(EGFR-TKIs)被广泛用于治疗NSCLC。已知EGFR-TKIs在一定数量的给药周期后会产生耐药反应,如何减轻甚至逆转EGFR-TKI耐药性是目前亟待解决的问题。本综述聚焦于非编码RNA(ncRNAs)在NSCLC对EGFR-TKIs耐药中的作用以及NSCLC对EGFR-TKIs耐药发生的潜在机制。ncRNAs通过介导细胞药物外排、上皮-间质转化、凋亡、自噬和EGFR突变参与NSCLC对EGFR-TKIs的耐药。ncRNAs在NSCLC对EGFR-TKIs的耐药中起关键作用。有望这些结果能为NSCLC的治疗和预后提供一些指导和帮助。

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