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2025 年晚期胰腺癌的系统治疗:当前标准治疗与新兴治疗策略

英文原题:Systemic Therapy for Advanced Pancreatic Cancer in 2025: Current Standard-of-Care and Emerging Therapeutic Strategies.

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Systemic Therapy for Advanced Pancreatic Cancer in 2025: Current Standard-of-Care and Emerging Therapeutic Strategies.

PubMed 2026/03/24(内容时间) J Gastroenterol Hepatol Q2 · IF 3.5(JCR 2025)

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中文摘要

晚期胰腺癌仍是发达国家癌症死亡的主要原因之一,过去十年间其全身治疗进展有限。本综述重点介绍近期一线标准治疗选择,并探讨生物标志物驱动的策略,尤其是同源重组缺陷用于个体化治疗选择。我们强调肿瘤下一代测序的应用如何塑造精准治疗,包括肿瘤不可知靶点,如 KRAS 野生型肿瘤中的 NRG1 融合和 BRAF 改变。KRAS 抑制剂、PROTACs、肿瘤电场治疗以及针对 MTAP 缺失肿瘤的 PRMT5 抑制剂的进展正在迅速扩展患者的潜在治疗选择。靶向 Claudin18.2 和 CXCR4 的新兴免疫疗法为克服肿瘤耐药带来了希望。总之,这些策略凸显了分子分层、合成致死和新型靶点在改善胰腺癌生存方面的前景。

展开英文摘要原文

Advanced pancreatic cancer remains a leading cause of cancer death in developed countries and has seen limited progress in systemic therapy over the past decade. This review highlights recent first-line standard of care treatment options and explores biomarker-driven strategies, particularly homologous recombination deficiency for personalized treatment selection.

We emphasize how the adoption of tumor next-generation sequencing is shaping precision therapy, including tumor-agnostic targets such as NRG1 fusions and BRAF alterations in KRAS wild-type tumors. Advances in KRAS inhibitors, PROTACs, tumor treating fields, and PRMT5 inhibitors for MTAP-deleted tumors are rapidly expanding potential treatment options for patients. Emerging immunotherapies targeting Claudin18. 2 and CXCR4 offer hope to overcome tumor resistance.

Together, these strategies underscore the promise of molecular stratification, synthetic lethality, and novel targets to improve pancreatic cancer survival.

论文信息

作者
Kwok GGW、Lo J、Fung THW
单位
Department of Medicine, Queen Mary Hospital, University of Hong Kong, Hong Kong.Hong Kong
文献类型
综述
期刊
Journal of gastroenterology and hepatology2026 May
原文标识
PubMed 41877308 · DOI 10.1111/jgh.70353