非小细胞肺癌的靶向治疗:关于调控细胞死亡与免疫疗法的新见解。
Targeted therapy for non-small-cell lung cancer: New insights into regulated cell death combined with immunotherapy.
发表日期:2023 Sep 08
作者:
Shutong Li, Aoxue Wang, Yongya Wu, Shengyuan He, Wen Shuai, Min Zhao, Yumeng Zhu, Xiuying Hu, Yubin Luo, Guan Wang
来源:
IMMUNOLOGICAL REVIEWS
摘要:
非小细胞肺癌(NSCLC)是肺癌最常见的亚型,具有较高的转移性扩散率和耐药性。因此,NSCLC患者预后非常差,存活机会非常低。人类肿瘤与调节的细胞死亡(RCD)密切相关,如凋亡、自噬、铁死、焦亡和坏死斑块。目前,针对各种类型RCD的小分子化合物已显示出作为抗癌治疗的潜力。此外,RCD似乎是抗肿瘤免疫应答的特定部分。因此,将RCD与免疫疗法相结合可能增加治疗对肿瘤生长的抑制效果。在本综述中,我们总结了用于NSCLC治疗的小分子化合物,重点关注RCD和药理系统。此外,我们描述了一个RCD为基础的免疫治疗联合方案在NSCLC中的当前研究状况,为将来针对RCD与免疫疗法相结合靶向NSCLC病人提供新的思路。© 2023 John Wiley & Sons A/S. 由John Wiley & Sons Ltd.出版。
Non-small-cell lung cancer (NSCLC), which has a high rate of metastatic spread and drug resistance, is the most common subtype of lung cancer. Therefore, NSCLC patients have a very poor prognosis and a very low chance of survival. Human cancers are closely linked to regulated cell death (RCD), such as apoptosis, autophagy, ferroptosis, pyroptosis, and necroptosis. Currently, small-molecule compounds targeting various types of RCD have shown potential as anticancer treatments. Moreover, RCD appears to be a specific part of the antitumor immune response; hence, the combination of RCD and immunotherapy might increase the inhibitory effect of therapy on tumor growth. In this review, we summarize small-molecule compounds used for the treatment of NSCLC by focusing on RCD and pharmacological systems. In addition, we describe the current research status of an immunotherapy combined with an RCD-based regimen for NSCLC, providing new ideas for targeting RCD pathways in combination with immunotherapy for patients with NSCLC in the future.© 2023 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.