中国科学技术大学学报 ›› 2018, Vol. 48 ›› Issue (10): 785-790.DOI: 10.3969/j.issn.0253-2778.2018.10.003

• 原创论文 • 上一篇    下一篇

非小细胞肺癌EGFR-TKIs及其获得性耐药机制的研究进展

潘跃银   

  1. 中国科学技术大学附属第一医院(安徽省立医院)肿瘤化疗科,肿瘤免疫治疗研究中心,安徽合肥 230001
  • 收稿日期:2018-07-18 修回日期:2018-09-05 出版日期:2018-10-31 发布日期:2018-10-31
  • 作者简介:潘跃银,教授,肿瘤内科主任医师,医学博士,博士生导师,安徽省“江淮名医”.长期从事肺癌及乳腺癌耐药相关方向的临床与基础研究.现任中国科学技术大学附属第一医院西区(安徽省肿瘤医院)
  • 基金资助:
    安徽省自然科学基金面上项目(1908085MH260),合肥市自主创新政策"借转补"项目(J2018Y01),安徽省重点研究与开发项目(1704a0802148),安徽省卫生计生委中医药科研课题(2016zy29)资助.

Advances on EGFR-TKIs and acquired resistance mechanisms in non-small cell lung cancer

PAN Yueyin   

  1. Department of Chemotherapy, and Cancer Immunotherapy Research Center, The First Affiliated Hospital of USTC(Anhui Provincial Hospital), Hefei 230001, China
  • Received:2018-07-18 Revised:2018-09-05 Online:2018-10-31 Published:2018-10-31

摘要: EGFR酪氨酸激酶抑制剂(EGFR-TKIs)目前已成为具有EGFR敏感突变的非小细胞肺癌(non-small cell lung cancer, NSCLC)患者的首选一线治疗,然而获得性耐药仍然是其临床应用无法回避的瓶颈问题.本文首先回顾了获得性耐药机制,包括EGFR二次突变、MET基因扩增、IGF1R及HER2扩增,随后对EGFR-TKIs耐药后的治疗选择做了相关阐述,包括一代、二代、三代、四代EGFR-TKIs及联合治疗策略.

关键词: 非小细胞肺癌, EGFR酪氨酸激酶抑制剂, 靶向治疗, 获得性耐药

Abstract: Nowadays, EGFR tyrosine kinase inhibitors (EGFR-TKIs) have become the first-line treatment for non-small cell lung cancer (NSCLC) patients with EGFR-sensitive mutations. However, acquired drug resistance remains an unavoidable bottleneck in clinical application. Herein, the mechanisms of acquired drug resistance were reviewed first, including secondary mutation of EGFR, amplification of MET gene, IGF1R and amplification of HER2. Then, therapeutic

Key words: non-small cell lung cancer, EGFR tyrosine kinase inhibitor, targeted therapy, acquired resistance