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铂类靶向化疗与非小细胞肺癌(NSCLC)中顺铂耐药的逆转。

Platinum-based targeted chemotherapies and reversal of cisplatin resistance in non-small cell lung cancer (NSCLC).

机构信息

School of Pharmaceutical Science, Universiti Sains Malaysia, Minden, Pulau Pinang 11800, Malaysia.

School of Pharmaceutical Science, Universiti Sains Malaysia, Minden, Pulau Pinang 11800, Malaysia.

出版信息

Mutat Res. 2024 Jan-Jun;828:111856. doi: 10.1016/j.mrfmmm.2024.111856. Epub 2024 Mar 19.

Abstract

Lung cancer is the one of the most prevalent cancer in the world. It kills more people from cancer than any other cause and is especially common in underdeveloped nations. With 1.2 million instances, it is also the most prevalent cancer in men worldwide, making about 16.7% of the total cancer burden. Surgery is the main form of curative treatment for early-stage lung cancer. However, the majority of patients had incurable advanced non-small cell lung cancer (NSCLC) recurrence after curative purpose surgery, which is indicative of the aggressiveness of the illness and the dismal outlook. The gold standard of treatment for NSCLC patients includes drug targeting of specific mutated genes drive in development of lung cancer. Furthermore, patients with advanced NSCLC and those with early-stage illness needing adjuvant therapy should use cisplatin as it is the more active platinum drug. So, this review encompasses the non-small cell lung cancer microenvironment, treatment approaches, and use of cisplatin as a first-line regimen for NSCLC, its mechanism of action, cisplatin resistance in NSCLC and also the prevention strategies to revert the drug resistance.

摘要

肺癌是世界上最常见的癌症之一。它是癌症相关死亡的首要原因,尤其在欠发达国家更为常见。全球范围内,肺癌也是男性最常见的癌症,约占总癌症负担的 16.7%。对于早期肺癌,手术是主要的治愈性治疗方式。然而,大多数患者在根治性手术后出现不可治愈的晚期非小细胞肺癌(NSCLC)复发,这表明该疾病具有侵袭性,预后较差。NSCLC 患者的治疗金标准包括针对导致肺癌发生的特定基因突变的药物靶向治疗。此外,晚期 NSCLC 患者和需要辅助治疗的早期疾病患者应使用顺铂,因为它是更有效的铂类药物。因此,本综述涵盖了非小细胞肺癌的微环境、治疗方法以及顺铂作为 NSCLC 的一线方案的应用,包括其作用机制、NSCLC 中的顺铂耐药性以及逆转耐药性的预防策略。

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