Sahu Arvindra, Nema Priyanshu, Rajak Devraj, Purohit Arpana, Rawal Rashmi, Soni Vandana, Kashaw Sushil K
Integrated Drug Discovery Research Laboratory, Department of Pharmaceutical Sciences, Dr. Harisingh Gour University (A Central University), Sagar, MP, India.
Integrated Drug Discovery Research Laboratory, Department of Pharmaceutical Sciences, Dr. Harisingh Gour University (A Central University), Sagar, MP, India.
Cytokine Growth Factor Rev. 2025 Aug;84:135-157. doi: 10.1016/j.cytogfr.2025.06.001. Epub 2025 Jun 6.
Lung cancer is a leading cause of cancer-related mortality worldwide, characterized by the uncontrolled growth and spread of abnormal cells. Despite constant progress in diagnosis and treatment of lung cancer remains highly challenging. Present review explores the molecular underpinnings of lung cancer, emphasizing genetic mutations, altered metabolism, and the role of biomarkers in diagnosis and treatment. Advances in diagnostic methods, particularly liquid biopsies, have enabled non-invasive detection and monitoring of lung cancer. Therapeutic approaches have evolved significantly, with molecular-targeted therapies focusing on pathways like EGFR, ALK, KRAS, and MET. Caner Immunotherapy, including immune checkpoint inhibitors, artificial intelligence, and multi-omics analysis, including genomics and image data to predict treatment response, has further enhanced precision medicine by enabling earlier detection, better prognostic models, and efficient drug discovery. AI has a significant impact on various aspects of oncology, including improving the earlier diagnosis of lung cancer. Despite these advancements, challenges such as drug resistance, tumor heterogeneity, and limited efficacy of certain therapies persist, necessitating continued research and innovation.
肺癌是全球癌症相关死亡的主要原因,其特征是异常细胞的不受控制的生长和扩散。尽管在肺癌的诊断和治疗方面不断取得进展,但仍然极具挑战性。本综述探讨了肺癌的分子基础,重点强调了基因突变、代谢改变以及生物标志物在诊断和治疗中的作用。诊断方法的进步,尤其是液体活检,使得肺癌的非侵入性检测和监测成为可能。治疗方法有了显著发展,分子靶向治疗聚焦于如表皮生长因子受体(EGFR)、间变性淋巴瘤激酶(ALK)、 Kirsten大鼠肉瘤病毒癌基因(KRAS)和间质上皮转化因子(MET)等信号通路。癌症免疫疗法,包括免疫检查点抑制剂、人工智能,以及多组学分析,包括基因组学和图像数据以预测治疗反应,通过实现早期检测、更好的预后模型和高效的药物发现,进一步提高了精准医学水平。人工智能对肿瘤学的各个方面都有重大影响,包括改善肺癌的早期诊断。尽管取得了这些进展,但诸如耐药性、肿瘤异质性以及某些疗法疗效有限等挑战依然存在,这就需要持续的研究和创新。