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ALK抑制剂在NSCLC中的耐药机制及逆转策略的研究进展

张迪, 冉冬芝, 余瑜, 甘宗捷

张迪, 冉冬芝, 余瑜, 甘宗捷. ALK抑制剂在NSCLC中的耐药机制及逆转策略的研究进展[J]. 中国药科大学学报, 2020, 51(6): 655-663. DOI: 10.11665/j.issn.1000-5048.20200603
引用本文: 张迪, 冉冬芝, 余瑜, 甘宗捷. ALK抑制剂在NSCLC中的耐药机制及逆转策略的研究进展[J]. 中国药科大学学报, 2020, 51(6): 655-663. DOI: 10.11665/j.issn.1000-5048.20200603
ZHANG Di, RAN Dongzhi, YU Yu, GAN Zongjie. Research progress of the resistance mechanism and reversal strategies of ALK inhibitors in NSCLC[J]. Journal of China Pharmaceutical University, 2020, 51(6): 655-663. DOI: 10.11665/j.issn.1000-5048.20200603
Citation: ZHANG Di, RAN Dongzhi, YU Yu, GAN Zongjie. Research progress of the resistance mechanism and reversal strategies of ALK inhibitors in NSCLC[J]. Journal of China Pharmaceutical University, 2020, 51(6): 655-663. DOI: 10.11665/j.issn.1000-5048.20200603

ALK抑制剂在NSCLC中的耐药机制及逆转策略的研究进展

基金项目: 国家自然科学基金资助项目(No.21907013);重庆市教委科学技术研究资助项目(No.KJQN201900431)

Research progress of the resistance mechanism and reversal strategies of ALK inhibitors in NSCLC

Funds: This study was supported by the National Natural Science Foundation of China (No.21907013) and the Scientific and Technological Research Program of Chongqing Municipal Education Commission (No.KJQN201900431)
  • 摘要: 间变性淋巴瘤激酶(ALK)抑制剂是目前治疗NSCLC伴ALK阳性的有效药物,然而,耐药性的产生严重限制了其临床应用。本文对ALK抑制剂耐药产生的主要机制如二次基因突变、基因扩增、旁路通路激活等进行了简要介绍,并对联合用药、开发新型PROTAC降解剂等逆转耐药策略进行了综述,以期为ALK抑制剂药物的未来发展提供参考。
    Abstract: Anaplastic lymphoma kinase (ALK) inhibitors are regarded as effective drugs for the treatment of ALK-positive NSCLC. However,the emergence of drug resistance has limited its further clinical application. This article briefly introduces the resistance mechanism of ALK inhibitors including acquired secondary mutations,gene amplification,bypass signaling pathway activation and reviews the recent advances on the reversal strategies such as drug combination,developing novel PROTACs to overcome drug resistance,so as to provide some reference for the development of ALK inhibitors.
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出版历程
  • 收稿日期:  2020-02-24
  • 修回日期:  2020-10-21
  • 刊出日期:  2020-12-24

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