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BRAF V600E 突变型晚期结直肠癌的临床研究进展

Clinical research progress on BRAF V600E-mutant advanced colorectal cancer.

作者信息

Zeng Chuanxiu, Wang Mengchao, Xie Shuqi, Wang Na, Wang Zhen, Yi Dan, Kong Fanming, Chen Liwei

机构信息

Oncology Department, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.

National Clinical Research Center of Chinese Acupuncture and Moxibustion, Tianjin, China.

出版信息

J Cancer Res Clin Oncol. 2023 Nov;149(17):16111-16121. doi: 10.1007/s00432-023-05301-0. Epub 2023 Aug 28.

Abstract

Colorectal cancer is one of the malignant tumors that pose a serious threat to human health. A particularly bad prognosis might be expected for colorectal tumors with the unique molecular subtype BRAF V600E mutation. With the development of precision therapy, the advent of molecularly targeted therapies and immune checkpoint inhibitors has improved the outcome of intermediate to advanced colorectal cancer. However, the duration of drug benefit is usually short, and overall survival and progression-free survival remain suboptimal. Therefore, investigators are exploring more rational, safe, and effective drug combination regimens through clinical trials to provide longer survival for patients with such genetic mutations with metastatic colorectal cancer (mCRC). This article reviews the progress of clinical research on molecularly targeted drugs, immune checkpoint inhibitors, first-line chemotherapeutic agents, and different combination therapy regimens (including different targeted drug combinations, immune combination targeting, and chemotherapy combination targeting) for colorectal cancer patients with BRAF V600E mutation, which provides a reference for further in-depth clinical exploration of the treatment of colorectal cancer patients with BRAF V600E mutation.

摘要

结直肠癌是对人类健康构成严重威胁的恶性肿瘤之一。对于具有独特分子亚型BRAF V600E突变的结直肠肿瘤,其预后可能特别差。随着精准治疗的发展,分子靶向治疗和免疫检查点抑制剂的出现改善了中晚期结直肠癌的治疗结果。然而,药物获益的持续时间通常较短,总生存期和无进展生存期仍不理想。因此,研究人员正在通过临床试验探索更合理、安全和有效的联合用药方案,以为患有此类基因突变的转移性结直肠癌(mCRC)患者提供更长的生存期。本文综述了针对BRAF V600E突变的结直肠癌患者的分子靶向药物、免疫检查点抑制剂、一线化疗药物以及不同联合治疗方案(包括不同靶向药物联合、免疫联合靶向以及化疗联合靶向)的临床研究进展,为进一步深入临床探索治疗BRAF V600E突变的结直肠癌患者提供参考。

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