铂类靶向化疗和逆转非小细胞肺癌(NSCLC)的顺铂耐药性

IF 1.5 4区 医学 Q4 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Mutation Research-Fundamental and Molecular Mechanisms of Mutagenesis Pub Date : 2024-01-01 DOI:10.1016/j.mrfmmm.2024.111856
Hassaan Umar , Habibah A. Wahab , Ali Attiq , Muhammad Wahab Amjad , Syed Nasir Abbas Bukhari , Waqas Ahmad
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引用次数: 0

摘要

肺癌是世界上发病率最高的癌症之一。死于肺癌的人数比死于其他癌症的人数都多,在不发达国家尤其常见。肺癌的发病率为 120 万,是全球男性发病率最高的癌症,约占癌症总发病率的 16.7%。手术是治愈早期肺癌的主要方式。然而,大多数患者在接受根治性手术后都会出现无法治愈的晚期非小细胞肺癌(NSCLC)复发,这说明了该疾病的侵袭性和前景不容乐观。治疗非小细胞肺癌患者的金标准包括针对导致肺癌发生的特定突变基因的药物治疗。此外,晚期 NSCLC 患者和需要辅助治疗的早期患者应使用顺铂,因为顺铂是活性较高的铂类药物。因此,本综述涵盖了非小细胞肺癌的微环境、治疗方法、顺铂作为NSCLC一线治疗方案的使用、其作用机制、NSCLC中的顺铂耐药性以及逆转耐药性的预防策略。
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Platinum-based targeted chemotherapies and reversal of cisplatin resistance in non-small cell lung cancer (NSCLC)

Lung cancer is the one of the most prevalent cancer in the world. It kills more people from cancer than any other cause and is especially common in underdeveloped nations. With 1.2 million instances, it is also the most prevalent cancer in men worldwide, making about 16.7% of the total cancer burden. Surgery is the main form of curative treatment for early-stage lung cancer. However, the majority of patients had incurable advanced non-small cell lung cancer (NSCLC) recurrence after curative purpose surgery, which is indicative of the aggressiveness of the illness and the dismal outlook. The gold standard of treatment for NSCLC patients includes drug targeting of specific mutated genes drive in development of lung cancer. Furthermore, patients with advanced NSCLC and those with early-stage illness needing adjuvant therapy should use cisplatin as it is the more active platinum drug. So, this review encompasses the non-small cell lung cancer microenvironment, treatment approaches, and use of cisplatin as a first-line regimen for NSCLC, its mechanism of action, cisplatin resistance in NSCLC and also the prevention strategies to revert the drug resistance.

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来源期刊
CiteScore
4.90
自引率
0.00%
发文量
24
审稿时长
51 days
期刊介绍: Mutation Research (MR) provides a platform for publishing all aspects of DNA mutations and epimutations, from basic evolutionary aspects to translational applications in genetic and epigenetic diagnostics and therapy. Mutations are defined as all possible alterations in DNA sequence and sequence organization, from point mutations to genome structural variation, chromosomal aberrations and aneuploidy. Epimutations are defined as alterations in the epigenome, i.e., changes in DNA methylation, histone modification and small regulatory RNAs. MR publishes articles in the following areas: Of special interest are basic mechanisms through which DNA damage and mutations impact development and differentiation, stem cell biology and cell fate in general, including various forms of cell death and cellular senescence. The study of genome instability in human molecular epidemiology and in relation to complex phenotypes, such as human disease, is considered a growing area of importance. Mechanisms of (epi)mutation induction, for example, during DNA repair, replication or recombination; novel methods of (epi)mutation detection, with a focus on ultra-high-throughput sequencing. Landscape of somatic mutations and epimutations in cancer and aging. Role of de novo mutations in human disease and aging; mutations in population genomics. Interactions between mutations and epimutations. The role of epimutations in chromatin structure and function. Mitochondrial DNA mutations and their consequences in terms of human disease and aging. Novel ways to generate mutations and epimutations in cell lines and animal models.
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