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KRAS基因异常与该基因G12C突变的非小细胞肺癌患者的治疗选择——文献综述与单中心经验

Abnormalities in the KRAS Gene and Treatment Options for NSCLC Patients with the G12C Mutation in This Gene-A Literature Review and Single-Center Experience.

作者信息

Rekowska Anna K, Rola Piotr, Kwiatkowska Agnieszka, Wójcik-Superczyńska Magdalena, Gil Michał, Krawczyk Paweł, Milanowski Janusz

机构信息

Department of Pneumonology, Oncology and Allergology, Medical University of Lublin, 20-090 Lublin, Poland.

出版信息

Biomedicines. 2024 Jan 31;12(2):325. doi: 10.3390/biomedicines12020325.

Abstract

Mutations in the gene are among the most common mutations observed in cancer cells, but they have only recently become an achievable goal for targeted therapies. Two inhibitors, sotorasib and adagrasib, have recently been approved for the treatment of patients with advanced non-small cell lung cancer with the G12C mutation, while studies on their efficacy are still ongoing. In this work, we comprehensively analyzed gene mutations' molecular background, mutation testing, KRAS inhibitors' effectiveness with an emphasis on non-small cell lung cancer, the impact of mutations on immunotherapy outcomes, and drug resistance problems. We also summarized ongoing trials and analyzed emerging perspectives on targeting KRAS in cancer patients.

摘要

该基因的突变是癌细胞中最常见的突变之一,但直到最近它们才成为靶向治疗可实现的目标。两种KRAS抑制剂,索托拉西布和阿达格拉西布,最近已被批准用于治疗具有KRAS G12C突变的晚期非小细胞肺癌患者,而关于它们疗效的研究仍在进行中。在这项工作中,我们全面分析了KRAS基因突变的分子背景、突变检测、KRAS抑制剂的有效性(重点是非小细胞肺癌)、KRAS突变对免疫治疗结果的影响以及耐药性问题。我们还总结了正在进行的试验,并分析了针对癌症患者靶向KRAS的新观点。

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本文引用的文献

2
Next batter up! Targeting cancers with KRAS-G12D mutations.下一位击球手就位!靶向KRAS-G12D突变的癌症。
Trends Cancer. 2023 Nov;9(11):955-967. doi: 10.1016/j.trecan.2023.07.010. Epub 2023 Aug 15.
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The Therapeutic Landscape for -Mutated Colorectal Cancers.KRAS 突变型结直肠癌的治疗前景
Cancers (Basel). 2023 Apr 19;15(8):2375. doi: 10.3390/cancers15082375.
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CodeBreak 200: Sotorasib Has Not Broken the KRAS Enigma Code.CodeBreak 200:索托拉西布尚未破解KRAS谜团密码。
Lung Cancer (Auckl). 2023 Apr 19;14:27-30. doi: 10.2147/LCTT.S403461. eCollection 2023.
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Adagrasib: First Approval.阿达格拉西布:首次获批。
Drugs. 2023 Feb;83(3):275-285. doi: 10.1007/s40265-023-01839-y.
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Sotorasib in p.G12C-Mutated Advanced Pancreatic Cancer.索托拉西布治疗 p.G12C 突变型晚期胰腺癌。
N Engl J Med. 2023 Jan 5;388(1):33-43. doi: 10.1056/NEJMoa2208470. Epub 2022 Dec 21.

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