首页|曲拉西利预防肺癌化疗引起的骨髓抑制1例及文献分析

曲拉西利预防肺癌化疗引起的骨髓抑制1例及文献分析

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肺癌是我国恶性肿瘤中发病率和死亡率最高的癌症,非小细胞肺癌(non-small cell lung cancer,NSCLC)是肺癌最主要的病理类型,约占肺癌总数的 80%~85%.含铂双药化疗是驱动基因阴性晚期NSCLC标准的一线化疗方案.骨髓抑制(chemotherapy-induced myelosuppression,CIM)是肿瘤化疗最常见的毒性反应,包括中性粒细胞减少症、血小板减少症和贫血.目前,CIM的传统治疗手段都有一定的局限性,主要包括仅针对单一谱系、存在其他不良事件发生风险、治疗时间长、起效慢、易导致骨髓耗竭等.曲拉西利(trilaciclib)作为新型细胞周期蛋白依赖性激酶4/6(cyclin-dependent kinase 4/6,CDK4/6)抑制剂,通过诱导造血干/祖细胞(hematopoietic stem and progenitor cells,HSPCs)短暂停滞在G1 期,保护其免受化疗损伤,在全系骨髓上起显著预防保护作用,显著降低三系骨髓抑制的发生率,具有高效性、选择性与可逆性,且安全性良好.本文报道1 例曲拉西利预防肺癌化疗引发的骨髓抑制病例,以供同行参考.
Trilaciclib for prevention of chemotherapy-induced myelosuppression in lung cancer:a case report and literature review
Lung cancer has the highest morbidity and mortality among malignant tumors in China,and non-small cell lung cancer(NSCLC)is the main pathological type of lung cancer,accounting for approximately 80%to 85%.Currently,platinum-based chemotherapy is still the standard first-line chemotherapy regimen for advanced driver-gene negative NSCLC,and the main adverse event is chemotherapy-induced myelosuppression(CIM),including neutropenia,thrombocytopenia,and anemia.At present,the traditional treatment of CIM have certain limitations,mainly including targeting only mono-lineage,having the risk of inducing other adverse events,long duration of treatment with a slow onset of action,and possibility of bone marrow depletion.As a novel cyclin-dependent kinase 4/6(CDK4/6)inhibitor,trilaciclib plays a significant role in multi-lineage bone marrow protection by inducing transient arrest in G1 phase with high efficiency,selectivity and reversibility.This article reports a patient with NSCLC who receiced trilaciclib for preventing CIM,aiming to provide reference basis for clinical practice.

non-small cell lung cancerchemotherapymyelosuppressiontrilaciclib

黄豪杰、陈韬、谢晓原、池秀盈、孙佳婷、陈理明

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汕头大学医学院第一附属医院,汕头 515041

汕头大学医学院,汕头 515041

中山大学中山医学院,广州 510080

非小细胞肺癌 化疗 骨髓抑制 曲拉西利

2024

中国新药杂志
中国医药科技出版社 中国医药集团总公司 中国药学会

中国新药杂志

CSTPCD北大核心
影响因子:1.039
ISSN:1003-3734
年,卷(期):2024.33(1)
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