胃肠胰神经内分泌肿瘤分子靶向治疗研究进展

Research advances in molecular targeted therapy for gastroenteropancreatic neuroendocrine neoplasms

  • 摘要: 神经内分泌肿瘤是一组起源于神经内分泌细胞的高度异质性肿瘤,发病部位以胃肠胰最为常见。对于胃肠胰神经内分泌肿瘤,手术切除是首选的治疗方法,对于诊断时已有局部进展或远处转移而无法手术的患者,分子靶向治疗提供了一种新的治疗方法。临床上常见的分子靶向治疗药物包括生长抑素类似物、哺乳动物雷帕霉素靶蛋白抑制剂、酪氨酸激酶抑制剂、免疫治疗等,近年来多项基础及临床研究又为分子靶向治疗提供了新思路。

     

    Abstract: Neuroendocrine neoplasms, commonly deriving from neuroendocrine cells of gastrointestinal tract and pancreas, are remarkably heterogeneous. As for gastroentero-pancreatic neuroendocrine neoplasms, surgery is the first choice for treatment, whereas molecular targeted therapy provides a new treatment option for patients with local advancement or metastases. Drugs for molecular targeted therapy used clinically include somatostatin analogs, mammalian target of rapamyoin pathway inhibitors, tyrosinekinase inhibitors, immunotherapy and so on. Research findings from experiments and clinic trials will possibly provide new therapeutic methods for molecular targeted therapy in the future.

     

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