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肺癌——流行病学、发病机制、治疗及分子层面(文献综述)

Lung Cancer-Epidemiology, Pathogenesis, Treatment and Molecular Aspect (Review of Literature).

作者信息

Smolarz Beata, Łukasiewicz Honorata, Samulak Dariusz, Piekarska Ewa, Kołaciński Radosław, Romanowicz Hanna

机构信息

Laboratory of Cancer Genetics, Department of Pathology, Polish Mother's Memorial Hospital Research Institute, 93-338 Lodz, Poland.

Faculty of Medicine and Health Sciences, Department of Nursing, The President Stanisław Wojciechowski Calisia University, 62-800 Kalisz, Poland.

出版信息

Int J Mol Sci. 2025 Feb 26;26(5):2049. doi: 10.3390/ijms26052049.

Abstract

Lung cancer is one of the most common malignant cancers in most countries and is the leading cause of death among cancer diseases worldwide. Despite constant progress in diagnosis and therapy, survival rates of patients diagnosed with lung cancer remain unsatisfactory. Numerous epidemiological and experimental studies conducted as early as the 1970s confirm that the most important risk factor for the development of lung cancer is long-term smoking, which remains valid to this day. In the paper, the authors present the latest data on the epidemiology, pathogenesis, treatment and molecular aspects of this cancer. In the last decade, many molecular alterations that are effective in the development of lung cancer have been discovered. In adenocarcinoma, tyrosine kinase inhibitors were developed for EGFR mutations and ALK and ROS1 translocations and were approved for use in the treatment of advanced stage adenocarcinomas. In the case of squamous cell carcinoma, the evaluation of these mutations is not yet being used in clinical practice. In addition, there are ongoing studies concerning many potential therapeutic molecular targets, such as ROS, MET, FGFR, DDR-2 and RET. Constant progress in diagnostic and therapeutic methods gives rise to hopes for an improved prognosis in patients with lung cancer.

摘要

肺癌是大多数国家最常见的恶性肿瘤之一,也是全球癌症相关死亡的主要原因。尽管在诊断和治疗方面不断取得进展,但肺癌患者的生存率仍不尽人意。早在20世纪70年代进行的大量流行病学和实验研究就证实,肺癌发生的最重要风险因素是长期吸烟,这一因素至今仍然成立。在本文中,作者介绍了有关这种癌症的流行病学、发病机制、治疗和分子方面的最新数据。在过去十年中,发现了许多对肺癌发生有影响的分子改变。在腺癌中,针对表皮生长因子受体(EGFR)突变以及间变性淋巴瘤激酶(ALK)和ROS1基因重排研发了酪氨酸激酶抑制剂,并被批准用于治疗晚期腺癌。在鳞状细胞癌的情况下,这些突变的评估尚未应用于临床实践。此外,关于许多潜在治疗性分子靶点,如活性氧(ROS)、间质-上皮转化因子(MET)、成纤维细胞生长因子受体(FGFR)、盘状结构域受体-2(DDR-2)和转染重排(RET)的研究也在进行中。诊断和治疗方法的不断进步给肺癌患者预后的改善带来了希望。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d284/11900952/994259ccfbfe/ijms-26-02049-g001.jpg

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