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结直肠癌靶向治疗新进展的转化研究

英文原题:Translational research of new developments in targeted therapy of colorectal cancer.

查看英文原题

Translational research of new developments in targeted therapy of colorectal cancer.

PubMed 2023/10/12(内容时间) Pathol Res Pract Q1 · IF 3.7(JCR 2025)

研究概要

结直肠癌(CRC)发病率和死亡率的上升是一个严重的全球健康问题。

中文摘要

结直肠癌(CRC)发病率和死亡率不断上升,是一项严重的全球健康问题。常用于治疗CRC的化疗特异性有限,且可能产生明显副作用。靶向治疗的发展改变了癌症治疗模式,带来了疗效更好、毒性更低的药物。本综述涉及CRC靶向治疗的分子靶点,包括表皮生长因子受体(EGFR)、血管内皮生长因子(VEGF)、人表皮生长因子受体2(HER2)及BRAF。本文也讨论靶向治疗策略的进展,例如抗体偶联药物、免疫检查点抑制剂和嵌合抗原受体(CAR)T细胞疗法,并回顾这些治疗用于CRC的临床试验和应用情况。尽管CRC靶向治疗已有进展,耐药和患者筛选等问题仍待解决。即便如此,靶向治疗为CRC的检测和治疗提供了新的可能性,有助于推动个体化医疗发展,并延长患者预期寿命、改善整体健康状况。

展开英文摘要原文

A severe global health concern is the rising incidence and mortality rate of colorectal cancer (CRC). Chemotherapy, which is typically used to treat CRC, is known to have limited specificity and can have noticeable side effects. A paradigm shift in cancer treatment has been brought about by the development of targeted therapies, which has led to the appearance of pharmacological agents with improved efficacy and decreased toxicity. Epidermal growth factor receptor (EGFR), vascular endothelial growth factor (VEGF), human epidermal growth factor receptor 2 (HER2), and BRAF are among the molecular targets covered in this review that are used in targeted therapy for CRC. The current discussion also covers advancements in targeted therapeutic approaches, such as antibody-drug conjugates, immune checkpoint inhibitors, and chimeric antigen receptor (CAR) T-cell therapy. A review of the clinical trials and application of these particular therapies in treating CRC is also done. Despite the improvements in targeted therapy for CRC, problems such as drug resistance and patient selection remain to be solved. Despite this, targeted therapies have offered fresh possibilities for identifying and treating CRC, paving the way for the development of personalized medicine and extending the life expectancy and general well-being of CRC patients.

论文信息

作者
Yang L、Atakhanova N、Arellano MTC、Mohamed MY、Hani T、Fahdil AA、Castillo-Acobo RY、Juyal A
第一作者单位
Department of Clinical Laboratory, People's Hospital of Chongqing Liangjiang New Area, Chongqing 401121, China.China
通讯作者单位
Department of Biochemistry, Universidad San Ignacio De Loyola (USIL), Lima, Peru. Electronic address: cosmepechorenzondaniel@gmail.com.
文献类型
综述
期刊
Pathology, research and practice2023 Dec
原文标识
PubMed 37948996 · DOI 10.1016/j.prp.2023.154888