Drug resistance of epidermal growth factor receptor-tyrosine kinase inhibitors in treatment of advanced non-small cell lung cancer—A new dawn in challenge
Wu Guoming,Qian Guisheng.Drug resistance of epidermal growth factor receptor-tyrosine kinase inhibitors in treatment of advanced non-small cell lung cancer—A new dawn in challenge[J].J Amry Med Univ (J Third Mil Med Univ),2012,34(20):2031-2034.
Wu Guoming,Qian Guisheng.Drug resistance of epidermal growth factor receptor-tyrosine kinase inhibitors in treatment of advanced non-small cell lung cancer—A new dawn in challenge[J].J Amry Med Univ (J Third Mil Med Univ),2012,34(20):2031-2034.DOI:
molecularly target therapy has increasingly altered the strategies in advanced non-small cell lung cancer (NSCLC). Epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs)
gefitinib and erlotinib
are regarded as the most successful target drugs. However
EGFR-TKIs resistance has become a major clinical challenge. EGFR-TKIs resistance includes the primary resistance and the acquired resistance. The primary resistance’s mechanisms are associated with other non-sensitive EGFR mutations such as exon 20 insertions and other gene mutations such as KRAS
BRAF and EML4-ALK. The acquired resistance’s mechanisms are often associated with the secondary T790 mutation and MET gene amplification. At present
new strategies in overcoming EGFR-TKIs resistance are mainly focusing on irreversible EGFR inhibitors and MET inhibitors.