Gorzelak-Magiera Anita, Domagała-Haduch Małgorzata, Kabut Jacek, Gisterek-Grocholska Iwona
Department of Oncology and Radiotherapy, Medical University of Silesia, 40-615 Katowice, Poland.
Biomedicines. 2024 Oct 11;12(10):2308. doi: 10.3390/biomedicines12102308.
Lung cancer is the leading cause of cancer-related morbidity and mortality. The median survival time for patients with advanced non-small-cell lung cancer before the era of molecular-based personalized treatment was 7.9 months. The discovery of predictive factors and the introduction of molecular diagnostics into daily practice made a breakthrough, enabling several years of survival in patients with advanced disease. The discovery of rearrangements in the gene and ALK tyrosine kinase inhibitors has resulted in a dramatic improvement in the prognosis of patients with this subtype of cancer. Currently, three generations of ALK inhibitors differing in activity, toxicity and degree of penetration into the central nervous system are available in clinical practice. The current state of knowledge on ALK inhibitors used in clinical practice is summarised in this research paper. Methods of diagnosis of abnormalities in have been shown, and the review of research that contributed to the development of the next generation of ALK inhibitors has been presented.
肺癌是癌症相关发病和死亡的主要原因。在基于分子的个性化治疗时代之前,晚期非小细胞肺癌患者的中位生存时间为7.9个月。预测因素的发现以及分子诊断在日常实践中的引入取得了突破,使晚期疾病患者能够存活数年。该基因重排的发现和ALK酪氨酸激酶抑制剂已使这种癌症亚型患者的预后得到显著改善。目前,临床实践中有三代在活性、毒性和对中枢神经系统的渗透程度方面存在差异的ALK抑制剂。本研究论文总结了临床实践中使用的ALK抑制剂的当前知识状态。已展示了该基因异常的诊断方法,并介绍了有助于下一代ALK抑制剂开发的研究综述。