晚期非小细胞肺癌的靶向治疗

Target Therapy of Later Mon-small Lung Cancer

  • 摘要: 晚期非小细胞肺癌的联合化疗有一定的作用,但二十多年来其疗效没有显著的提高。表皮生长因子受体(EGFR)突变的发现,推动了EGFR为靶标的EGFR酪氨酸激酶抑制剂的分子靶向治疗。本文对EGFR突变、EGFR酪氨酸激酶抑制剂治疗非小细胞肺癌的现状及其耐药性、放射性核素标记的EGF非小细胞肺癌的前景等予以阐述。

     

    Abstract: For later non-small-cell lung cancer, surgery and chemotherapy are thought of much limitation, molecular target therapy of epidermal growth factor receptor is a very good choice. But, endothelial growth factor receptor tyrosine kinase inhibitors such as gefitinib and erotinib have been found some deficiency. As for its use, the patients, who have epidermal growth factor receptor mutation and oher clinical character, will benefit most. Moreover, patients will have resistance. So some substitute of them is necessary. It is positive that irreversible inhibitors of epidermal growth factor receptor tyrosine kinase, antibody of vascular endothelial growth factor receptor and antitumor vaccines are produced. While radionuclinde labbled epidermal growth factor have been used some malignancy with the expression of epidermal growth factor receptor, especial breast cancer. And coexpression of reporter gene and therapy gene in the same carrier, then are shift to the harmful cardiac cells and accept PET imaging, by which we can treat patients and observe the effect synchronously. Both are sure to be very attractive for later non-small-cell lung cancer, of course other malligancy included.

     

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