革命性的非小细胞肺癌治疗:EGFR-TKIs耐药性的免疫治疗策略

IF 1.9 4区 医学 Q3 RESPIRATORY SYSTEM
Jin Tian, Zhiqi Shi, Lili Zhao, Peng Liu, Xiaojun Sun, Lin Long, Jianhua Zang, Jun Xiao
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引用次数: 0

摘要

表皮生长因子受体酪氨酸激酶抑制剂(EGFR- tkis)是EGFR突变的晚期非小细胞肺癌(NSCLC)患者的标准治疗选择。EGFR-TKIs在晚期NSCLC患者的治疗中取得了重大进展,但耐药性问题仍然不可避免地出现。耐药机制及后续治疗一直是当前研究的难点和重点。免疫检查点抑制剂(ICIs)是晚期非小细胞肺癌(NSCLC)患者无可药物分子改变的新选择。目前已有多项研究将ICIs应用于EGFR-TKIs耐药的NSCLC患者,并探讨了ICIs的潜在疗效。本文综述了EGFR-TKIs耐药后的免疫治疗现状,包括ICIs单药、联合EGFR-TKIs、化疗、抗血管生成药物等治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Revolutionizing NSCLC Treatment: Immunotherapy Strategies for EGFR-TKIs Resistance

Revolutionizing NSCLC Treatment: Immunotherapy Strategies for EGFR-TKIs Resistance

Epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) are the standard treatment choice for advanced non-small cell lung cancer (NSCLC) patients with EGFR mutations. EGFR-TKIs have made significant progress in the treatment of advanced NSCLC patients, but drug resistance issues still inevitably arise. The mechanism of drug resistance and subsequent treatment has been current research challenge and priority. Immune checkpoint inhibitors (ICIs) are a new choice for late-stage NSCLC patients without druggable molecular alterations. Currently, several studies have applied ICIs therapy for NSCLC patients with EGFR-TKIs resistance and explored the potential efficacy of ICIs. This review elaborates on the current status of immunotherapy after EGFR-TKIs resistance, including ICIs monotherapy, combined with EGFR-TKIs, chemotherapy, antiangiogenic drugs, and other therapies.

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来源期刊
Clinical Respiratory Journal
Clinical Respiratory Journal 医学-呼吸系统
CiteScore
3.70
自引率
0.00%
发文量
104
审稿时长
>12 weeks
期刊介绍: Overview Effective with the 2016 volume, this journal will be published in an online-only format. Aims and Scope The Clinical Respiratory Journal (CRJ) provides a forum for clinical research in all areas of respiratory medicine from clinical lung disease to basic research relevant to the clinic. We publish original research, review articles, case studies, editorials and book reviews in all areas of clinical lung disease including: Asthma Allergy COPD Non-invasive ventilation Sleep related breathing disorders Interstitial lung diseases Lung cancer Clinical genetics Rhinitis Airway and lung infection Epidemiology Pediatrics CRJ provides a fast-track service for selected Phase II and Phase III trial studies. Keywords Clinical Respiratory Journal, respiratory, pulmonary, medicine, clinical, lung disease, Abstracting and Indexing Information Academic Search (EBSCO Publishing) Academic Search Alumni Edition (EBSCO Publishing) Embase (Elsevier) Health & Medical Collection (ProQuest) Health Research Premium Collection (ProQuest) HEED: Health Economic Evaluations Database (Wiley-Blackwell) Hospital Premium Collection (ProQuest) Journal Citation Reports/Science Edition (Clarivate Analytics) MEDLINE/PubMed (NLM) ProQuest Central (ProQuest) Science Citation Index Expanded (Clarivate Analytics) SCOPUS (Elsevier)
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