首页|肝细胞癌仑伐替尼耐药的分子机制

肝细胞癌仑伐替尼耐药的分子机制

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肝细胞癌是肝脏最常见的恶性肿瘤,给中国乃至全球带来了严重的卫生负担.然而,大部分肝细胞癌患者就诊时已处于晚期阶段,手术机会较少,治疗选择有限.近年来,分子靶向治疗的进展为晚期肝细胞癌患者提供了新的希望.其中,仑伐替尼是美国食品药品监督管理局继索拉非尼之后批准的第二个用于晚期肝细胞癌治疗的一线药物,因其强大的抗肿瘤特性获得广泛关注.然而,仑伐替尼的疗效受到其耐药性的严重限制.本文主要针对仑伐替尼在肝细胞癌中耐药的分子机制研究进展进行综述,讨论可能改善仑伐替尼耐药的方法,以期能提高其疗效.
Molecular mechanism of lenvatinib resistance in hepatocellular carcinoma
Hepatocellular carcinoma is the most common malignancy of the liver and poses serious health burdens on China and the whole world.However,most patients with hepatocellular carcinoma are already in the advanced stage at the time of diagnosis,with fewer opportunities for surgery and limited treatment options.In recent years,the advances in molecular targeted therapies have brought new hope for patients with advanced hepatocellular carcinoma.Among these therapies,lenvatinib is the second first-line drug after sorafenib approved by the US Food and Drug Administration for the treatment of advanced hepatocellular carcinoma,and it has attracted widespread attention for its powerful anti-tumor properties.However,the efficacy of lenvatinib is severely limited by its drug resistance.This article reviews the research advances in the molecular mechanisms of lenvatinib resistance in hepatocellular carcinoma and discusses possible ways to improve the efficacy of lenvatinib,so as to improve its efficacy.

Carcinoma,HepatocellularLenvatinibDrug Resistance,Neoplasm

姚晓萌、孙可可、林云凯、汪慧、董立巍、陈磊、胡和平

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海军军医大学第三附属医院 肝胆内科,上海 200438

海军军医大学第三附属医院 国家肝癌科学中心,上海 200438

癌,肝细胞 仑伐替尼 抗药性,肿瘤

2024

临床肝胆病杂志
吉林大学

临床肝胆病杂志

CSTPCD北大核心
影响因子:1.428
ISSN:1001-5256
年,卷(期):2024.40(12)