HER2+晚期胃癌:当前状态和机遇 (综述)
Hui-Hui Hu1, Sai-Qi Wang1, Huichen Zhao2
1Zhengzhou Key Laboratory for Precision Therapy of Gastrointestinal Cancer, Department of Oncology, Henan Engineering Research Center of Precision Therapy of Gastrointestinal Cancer, The Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, Zhengzhou, Henan 450008, P.R. China.
International journal of oncology
|February 23, 2024
概括
人类表皮生长因子受体2 (HER2) 阳性胃癌 (GC) 由于耐药性而带来治疗挑战. 本综述总结了针对HER2向治疗的进展,以及针对高级GC的组合治疗.
科学领域:
- 医学瘤学 医学瘤学
- 胃肠病学 胃肠病学
- 免疫治疗是一种免疫疗法.
背景情况:
- 人类表皮生长因子受体2 (HER2) 阳性胃癌 (GC) 占GC病例的10-20%.
- 特拉斯图祖马布改善了HER2阳性晚期GC (AGC) 的结果,但药物耐药性是一个重大挑战.
- 对HER2表达的动态监测对于识别可能受益于向治疗的患者至关重要.
研究的目的:
- 审查目前针对 HER2 阳性高级 GC 的向治疗药物的研究进展.
- 要总结结合并治疗HER2阳性晚期GC的进展.
- 为抗HER2治疗的未来应用提供见解.
主要方法:
- 对先进的GC抗HER2疗法的临床前和临床研究的文献评论.
- 分析当前的治疗策略,包括组合免疫疗法.
- 研究新的方法,如仿真抗原受体T细胞免疫疗法和癌症疫苗.
主要成果:
- 一些抗HER2药物,包括trastuzumab,DS-8201和RC48,用于HER2阳性AGC.
- 与抗HER2药物的联合免疫疗法是当前的一线治疗方法.
- 新兴疗法显示出改善HER2-阳性AGC的临床结果的希望.
结论:
- 对新型抗HER2疗法和组合策略的持续研究至关重要.
- 基于HER2表达监测的个性化治疗方法至关重要.
- 未来的方向包括探索免疫疗法和癌症疫苗,以提高HER2阳性GC的疗效.
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