中国肺癌杂志2024,Vol.27Issue(1) :73-80.DOI:10.3779/j.issn.1009-3419.2024.101.01

BRAF突变在非小细胞肺癌中的研究进展

Progress of BRAF Gene Alteration in Non-small Cell Lung Cancer

邓李变 杨雅娴 黄剑
中国肺癌杂志2024,Vol.27Issue(1) :73-80.DOI:10.3779/j.issn.1009-3419.2024.101.01

BRAF突变在非小细胞肺癌中的研究进展

Progress of BRAF Gene Alteration in Non-small Cell Lung Cancer

邓李变 1杨雅娴 2黄剑3
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作者信息

  • 1. 524002 湛江,广东医科大学附属第二医院病理科
  • 2. 510700 广州,广州华银康医疗集团股份有限公司
  • 3. 524001 湛江,广东医科大学附属医院病理诊断与研究中心
  • 折叠

摘要

鼠类肉瘤病毒癌基因同源物(V-Raf murine sarcoma viral oncogene homolog B,BRAF)突变是非小细胞肺癌(non-small cell lung cancer,NSCLC)的重要驱动基因之一.BRAF基因编码丝氨酸/苏氨酸蛋白激酶,BRAF突变通常导致其编码蛋白质的活化,从而导致丝裂原活化蛋白激酶激酶(mitogen-activated protein kinase kinase,MEK)信号传导途径的激活.针对BRAF突变或其下游MEK靶向药物的临床应用,为BRAF突变的NSCLC提供了更为针对性及有效的治疗.然而这些方案也存在获益持续时间短、BRAF非V600突变治疗效果差、易耐药等问题,需要新的复合治疗方案来改善.本文就BRAF基因结构特点、相关信号通路、突变类型,尤其是BRAF突变和NSCLC的临床病理联系及治疗进展等方面进行综述,为临床医生选择更有效的治疗方案提供依据.

Abstract

V-Raf murine sarcoma viral oncogene homolog B(BRAF)alteration is one of the most essential driver genes of non-small cell lung cancer(NSCLC).BRAF encodes serine/threonine protein kinases,and its mutations typically lead to protein compositional activation,thereby activating the mitogen-activated protein kinase kinase(MEK)signaling pathway.A promising new approach for the treatment of mutated BRAF and/or downstream MEK may provide customized treatment op-portunities for BRAF driven NSCLC patients.However,combination therapy is necessary to overcome the difficulties such as short duration of benefit,poor therapeutic effect of non-V600 BRAF mutations and susceptibility to drug resistance.This article reviewed the progress in structural characteristics,related signaling pathways,mutation types of BRAF gene,and the clinical pathological relationship between BRAF mutations and NSCLC,as well as the therapy,in order to provide more evidences for clinical doctors to make treatment decisions.

关键词

肺肿瘤/BRAF基因/靶向治疗

Key words

Lung neoplasms/BRAF gene/Targeted therapy

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基金项目

国家自然科学基金(81572610)

广东省"扬帆计划"引进紧缺拔尖人才项目(4YF16002G)

出版年

2024
中国肺癌杂志
中国抗癌协会 中国防痨协会 天津医科大学总医院

中国肺癌杂志

CSTPCDCSCD北大核心
影响因子:1.397
ISSN:1009-3419
参考文献量66
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