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Review
. 2010 Apr;13(4):363-9.
doi: 10.3779/j.issn.1009-3419.2010.04.18.

[A review of epidermal growth factor receptor/HER2 inhibitors in the treatment of patients with non-small-cell lung cancer]

[Article in Chinese]
Affiliations
Review

[A review of epidermal growth factor receptor/HER2 inhibitors in the treatment of patients with non-small-cell lung cancer]

[Article in Chinese]
Ramaswamy Govindan. Zhongguo Fei Ai Za Zhi. 2010 Apr.

Abstract

晚期非小细胞肺癌(non-small cell lung cancer, NSCLC)仍然是主要的全球健康问题。尽管可逆性表皮生长因子受体(epidermal growth factor receptor, EGFR)酪氨酸激酶抑制剂厄洛替尼可改善复发与再发NSCLC患者的生存期,但也存在明显的局限性,包括仅对少数患者亚群具有临床疗效、生存率较低及产生耐药性。EGFR和HER2的非可逆性抑制剂是临床开发的新型药物,有可能预防并克服第一代EGFR抑制剂的获得性耐药。

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Figures

A:EGFR(ErbB1)、HER2(ErbB1)、HER3(ErbB3)、HER4(ErbB4)基因编码4个ErbB受体。有11个生长因子可结合于这些受体,包括:EGF、转化生长因子-α、双调蛋白、纤维素、epigen、表皮调节蛋白、肝素结合EGF和4个神经调节蛋白。神经调节蛋白为HER3和HER4二聚体的配体。B:配体结合可触发受体的同源二聚化和异源二聚化。尽管EGFR抑制剂仅可阻断EGFR介导的信号传导,但抑制EGFR和HER2可阻断所有来自NSCLC相关的同源二聚体和异源二聚体的信号传导。<break/>缩写:EGFR=表皮生长因子受体。<break/>注:本图得到版权所有者©CIG Media Group, L.P.复制许可
1
ErbB信号的协同作用和所有EGFR抑制剂对比EGFR/HER2抑制剂的不同活性 Cooperative ErbB Signaling and Differential Activity of Sole EGFR Inhibition Versus EGFR/HER2 Inhibition
缩写:BSC=最佳支持治疗;CT=化疗;ECOG=东部肿瘤协作组;ORR=总有效率;OS=总生存期;PD=疾病进展;PFS=无进展生存期;PK=药代动力学;PS=体力状态;TTR=再发时间。<break/>注:本图得到版权所有者©CIG Media Group, L.P.复制许可
2
LUX Lung-1 ⅡB/Ⅲ期试验设计[34] The Phase ⅡB/Ⅲ LUX Lung-1 Trial Design[34]

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