首页|期刊导航|中国实用外科杂志|胃癌新辅助治疗靶点的研究进展和发展方向

胃癌新辅助治疗靶点的研究进展和发展方向OA北大核心CSTPCD

Research progress and development of neoadjuvant therapy targets in gastric cancer

中文摘要英文摘要

新辅助治疗作为胃癌治疗的重要组成部分,以RESOLVE研究为代表的越来越多临床研究数据证实新辅助治疗缩小肿瘤、提高手术切除率和改善病人生存的有效性及安全性.人表皮生长因子受体-2(HER2)、血管内皮生长因子及其受体、Claudin 18.2和程序性死亡受体-1及其配体等靶点的深入研究为病人带来了新的治疗选择,特别是HER2靶向药物和免疫检查点抑制剂在临床试验中展现出令人鼓舞的疗效,为改善病人生存和预后带来希望.然而,这一领域仍面临诸多问题,包括治疗有效性和安全性的验证、生物标记物的筛选、多靶点联合策略的优化以及治疗反应评估标准的制定等.未来胃癌新辅助治疗将强调多学科合作的重要性,更加注重个体化和精准化,优化治疗方案,进一步提高治疗效果和病人生活质量.

As an important component of gastric cancer treatment,neoadjuvant therapy has been increasingly proven to be effective and safe in reducing tumor size,improving surgical resection rates,and enhancing patient survival through clinical research data represented by the RESOLVE study.The in-depth study of targets such as human epidermal growth factor receptor-2(HER2),vascular endothelial growth factor receptor(VEGF)and its receptor(VEGFR),FGFR2,Claudin 18.2,and programmed death receptor-1(PD-1)and its ligand(PD-L1)has brought new treatment options for patients.In particular,HER2-targeted drugs and immune checkpoint inhibitors have shown encouraging efficacy in clinical trials,bringing hope for improving patient survival and prognosis.However,this field still faces many challenges,including validation of therapeutic efficacy and safety,screening of biomarkers,optimization of multi-target combination strategies,and development of treatment response evaluation criteria.In the future,neoadjuvant therapy for gastric cancer will emphasize the importance of multidisciplinary cooperation,pay more attention to individualization and precision,optimize treatment plans,and further improve treatment effectiveness and patient quality of life.

王振宁

中国医科大学附属第一医院胃肠肿瘤外科,辽宁沈阳 110001

临床医学

胃癌新辅助治疗分子亚型生物标记物免疫治疗靶向治疗

gastric cancerneoadjuvant therapymolecular subtypesbiomarkersimmunotherapytargeted therapy

《中国实用外科杂志》 2024 (010)

1090-1094 / 5

国家科技重大专项(No.2023ZD0501500);国家自然科学基金项目(No.U23A20457)

10.19538/j.cjps.issn1005-2208.2024.10.02

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