临床肿瘤学杂志

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非小细胞肺癌EGFR-TKIs耐药机制的研究进展

王彩霞,周晓军   

  1. 210002 南京 南京大学医学院临床学院 南京军区南京总医院临床病理中心
  • 收稿日期:2012-11-07 修回日期:2012-12-24 出版日期:2013-03-31 发布日期:2013-03-31
  • 通讯作者: 周晓军

esearch progress of the mechanisms on the drug resistance of EGFR-TKIs in non-small cell lung cancer

WANG Caixia,ZHOU Xiaojun.   

  1. Pathology Center,Medical School of Nanjing University,Nanjing General Hospital of Nanjing Command,PLA,Nanjing 210002,China
  • Received:2012-11-07 Revised:2012-12-24 Online:2013-03-31 Published:2013-03-31
  • Contact: ZHOU Xiaojun

摘要: 近年来,随着医学分子生物学的飞速发展,分子靶向治疗理念的提出使肿瘤治疗进入一个新阶段。在对非小细胞肺癌(NSCLC)的分子学研究中,表皮生长因子受体(EGFR)突变成为目前研究最热门的分子靶点,针对这一靶点的表皮生长因子受体酪氨酸激酶抑制剂(EGFR-TKIs)如吉非替尼、厄洛替尼等,已经广泛应用于临床治疗。然而,有一部分患者对EGFR-TKIs的治疗并不敏感或对其产生耐药性,影响了EGFR-TKIs的临床疗效。本文就EGFR-TKIs的耐药机制以及解除耐药的相应策略进行综述。

Abstract: In recent years,medical molecular biology has being rapidly developed and a new era of antitumor treatment is coming with the novel concept for moleculartargeted strategies. Epidemal growth factor receptor tyrosine kinase inhibitors(EGFR-TKIs),such as gefitinib and erlotinib,have being widely used in clinic.However,the efficiency is limited because of the drug resistance or poor sensitivity in some populations with non-small cell lung cancer(NSCLC) during therapy. The review briefly summarizes the progress on mechanisms of EGFR-TKIs resistance and strategies currently being employed to overcome resistance.

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