胃癌分子靶向药物的设计进展

Yuxi Wang
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摘要

胃癌是中国最常见的癌症之一,其发病机制与多种分子信号通路及相关因素有关。比较关键的分子通路包括 MET 通路、PI3K / AKT 通路和 MAPK 通路。此外,表皮生长因子受体(EGFR)家族和肿瘤血管生成相关因子也是重要因素,与肿瘤细胞增殖、凋亡和转移密切相关。研究结果将为胃癌的治疗提供新的思路和方法,为胃癌新药的研发奠定基础。在此基础上,多种分子靶向药物已进入临床试验阶段,其中曲妥珠单抗和阿帕替尼已显示出良好的疗效。本文概述了胃癌的分子发病机制,总结了曲妥珠单抗和阿帕替尼的作用机制、联合化疗及研究进展,为今后胃癌靶向治疗的研究提供参考。
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Progress in the Design of Molecular Targeted Drugs for Gastric Cancer
Gastric cancer is one of the most common cancers in China, and its pathogenesis is related to many molecular signaling pathways and related factors. The more critical molecular pathways include MET pathway, PI3K / AKT pathway, and MAPK pathway. In addition, the EGFR family and factors related to tumor angiogenesis are also important factors, which are closely related to tumor cell proliferation, apoptosis, and metastasis. The results of the study will provide new ideas and methods for the treatment of gastric cancer and lay the groundwork for the development of new gastric cancer drugs. On this basis, a variety of molecular targeted drugs have entered the clinical trial stage, among which, trastuzumab and apatinib have shown good efficacy. This paper summarizes the molecular pathogenesis of gastric cancer, and summarizes the mechanism of action, combination chemotherapy and research progress of trastuzumab and apatinib, so as to provide reference for future research on targeted therapy for gastric cancer.
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