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细胞内胆固醇:非小细胞肺癌表皮生长因子受体酪氨酸激酶抑制剂耐药中的新功能与治疗方法

Intracellular cholesterol: new functions and therapeutic approaches in NSCLC EGFR-TKI resistance.

作者信息

Wang Linjuan, Qiu Yue, Huang Xiang, Zhang Shimei, Zhao Min, Chen Qiufang

机构信息

Women and Children's Hospital, School of Medicine, Xiamen University, Xiamen, 361000, China.

Department of Pharmacy, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, 361003, China.

出版信息

Lipids Health Dis. 2025 Jul 30;24(1):255. doi: 10.1186/s12944-025-02559-w.

DOI:10.1186/s12944-025-02559-w
PMID:40739632
Abstract

Epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) have markedly enhanced survival rates among patients with advanced non-small cell lung cancer (NSCLC) exhibiting EGFR mutations. However, acquired resistance diminishes their therapeutic efficacy over time. Recent investigations have linked intracellular cholesterol with the emergence and advancement of various cancers. Elevated cholesterol levels could correlate with resistance to EGFR-TKIs in NSCLC. This review examines the association between cholesterol and EGFR-TKI resistance in NSCLC, with the objective of identifying more effective treatments and surmounting resistance.

摘要

表皮生长因子受体酪氨酸激酶抑制剂(EGFR-TKIs)显著提高了表皮生长因子受体(EGFR)突变的晚期非小细胞肺癌(NSCLC)患者的生存率。然而,随着时间的推移,获得性耐药会降低其治疗效果。最近的研究将细胞内胆固醇与各种癌症的发生和发展联系起来。胆固醇水平升高可能与NSCLC患者对EGFR-TKIs的耐药性相关。本综述探讨了NSCLC中胆固醇与EGFR-TKI耐药性之间的关联,旨在确定更有效的治疗方法并克服耐药性。

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本文引用的文献

1
The MET Family of Receptor Tyrosine Kinases Promotes a Shift to Pro-Tumor Metabolism.MET 家族受体酪氨酸激酶促进向促肿瘤代谢转变。
Genes (Basel). 2024 Jul 20;15(7):953. doi: 10.3390/genes15070953.
2
Induction of resistance to neurotrophic tropomyosin-receptor kinase inhibitors by HMGCS2 via a mevalonate pathway.通过甲羟戊酸途径诱导神经生长因子 tropomyosin-receptor 激酶抑制剂耐药性与 HMGCS2 有关。
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Cancer. 2024 Sep 15;130(18):3147-3156. doi: 10.1002/cncr.35318. Epub 2024 May 13.
4
Mechanisms of Acquired Resistance and Tolerance to EGFR Targeted Therapy in Non-Small Cell Lung Cancer.非小细胞肺癌中对表皮生长因子受体靶向治疗获得性耐药和耐受性的机制
Cancers (Basel). 2023 Jan 13;15(2):504. doi: 10.3390/cancers15020504.
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Current status of immunotherapy for non-small cell lung cancer.非小细胞肺癌免疫治疗的现状
Front Pharmacol. 2022 Oct 13;13:989461. doi: 10.3389/fphar.2022.989461. eCollection 2022.
6
Fasudil Increased the Sensitivity to Gefitinib in NSCLC by Decreasing Intracellular Lipid Accumulation.法舒地尔通过减少细胞内脂质积累增加非小细胞肺癌对吉非替尼的敏感性。
Cancers (Basel). 2022 Sep 27;14(19):4709. doi: 10.3390/cancers14194709.
7
Involvement of 27-hydroxycholesterol on the progression of non-small cell lung cancer via the estrogen receptor.27-羟基胆固醇通过雌激素受体参与非小细胞肺癌的进展
Am J Cancer Res. 2022 Sep 15;12(9):4241-4253. eCollection 2022.
8
[The incidence and mortality of endometrial cancer in China, 2015].[2015年中国子宫内膜癌的发病率和死亡率]
Zhonghua Yi Xue Za Zhi. 2022 Jul 12;102(26):1987-1992. doi: 10.3760/cma.j.cn112137-20211029-02403.
9
Early Steps of Resistance to Targeted Therapies in Non-Small-Cell Lung Cancer.非小细胞肺癌对靶向治疗耐药的早期步骤
Cancers (Basel). 2022 May 25;14(11):2613. doi: 10.3390/cancers14112613.
10
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