KRAS-Mutant Non-Small Cell Lung Cancer: An Emerging Promisingly Treatable Subgroup.

KRAS-Mutant Non-Small Cell Lung Cancer: An Emerging Promisingly Treatable Subgroup.
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DOI:
10.3389/fonc.2021.672612
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发表时间:
2021
影响因子:
4.7
通讯作者:
Fan Y
Fan Y
中科院分区:
医学3区
文献类型:
--
作者:
Xie M;Xu X;Fan Y

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肺癌是全球癌症相关死亡的主要原因,可分为小细胞肺癌和非小细胞肺癌(NSCLC)。NSCLC是最常见的组织学类型,占所有肺癌的85%。Kirsten大鼠肉瘤病毒癌基因(KRAS)突变在NSCLC中常见,与预后不良相关,可能是由于对大多数全身治疗的反应较差和缺乏靶向药物。最新发表的关于新型小分子KRAS G12C抑制剂AMG 510和MRTX849的临床试验数据表明,这些分子可能有助于治疗KRAS突变型NSCLC。同时,在免疫治疗过程中,在具有KRAS突变的患者中观察到免疫功效。本文就KRAS突变型非小细胞肺癌的发病机制、治疗现状、免疫治疗及靶向治疗的研究进展作一综述。
Lung cancer, the leading cause of cancer-related deaths worldwide, can be classified into small cell lung cancer and non-small cell lung cancer (NSCLC). NSCLC is the most common histological type, accounting for 85% of all lung cancers. Kirsten rat sarcoma viral oncogene (KRAS) mutations, common in NSCLC, are associated with poor prognosis, likely due to poor responses to most systemic therapies and lack of targeted drugs. The latest published clinical trial data on new small-molecule KRAS G12C inhibitors, AMG510 and MRTX849, indicate that these molecules may potentially help treat KRAS-mutant NSCLC. Simultaneously, within the immuno-therapeutic process, immune efficacy has been observed in those patients who have KRAS mutations. In this article, the pathogenesis, treatment status, progress of immunotherapy, and targeted therapy of KRAS-mutant NSCLC are reviewed.
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