Division of Thoracic Oncology, European Institute of Oncology, IRCCS, Milan, Italy.
Lowe Center for Thoracic Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA, USA.
Nat Cancer. 2021 Apr;2(4):377-391. doi: 10.1038/s43018-021-00195-8. Epub 2021 Apr 15.
Tyrosine kinase inhibitors (TKIs) have dramatically changed the clinical prospects of patients with non-small cell lung cancer harboring epidermal growth factor receptor (EGFR)-activating mutations. Despite prolonged disease control and high tumor response rates, all patients eventually progress on EGFR TKI treatment. Here, we review the mechanisms of acquired EGFR TKI resistance, the methods for monitoring its appearance, as well as current and future efforts to define treatment strategies to overcome resistance.
酪氨酸激酶抑制剂 (TKIs) 显著改变了携带表皮生长因子受体 (EGFR)-激活突变的非小细胞肺癌患者的临床前景。尽管疾病控制得到了延长,肿瘤反应率也很高,但所有患者最终仍会在 EGFR TKI 治疗中进展。在这里,我们回顾了获得性 EGFR TKI 耐药的机制、监测其出现的方法,以及目前和未来努力定义克服耐药性的治疗策略。