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CDK4/6抑制剂在HR~+晚期乳腺癌治疗中的耐药机制及进展后治疗策略
Mechanism of resistance to CDK4/6 inhibitors in HR~+ advanced breast cancer and subsequent treatment strategies
【摘要】 细胞周期蛋白依赖性激酶4/6(CDK4/6)抑制剂联合内分泌治疗已成为激素受体阳性(HR~+)、人类表皮生长因子受体-2阴性(HER2~-)乳腺癌患者的晚期一线及二线标准治疗方案。尽管CDK4/6抑制剂可实现有效的疾病控制,但对于晚期乳腺癌患者最终仍会因耐药出现疾病进展。目前CDK4/6抑制剂相关耐药机制尚不完全清楚,同时治疗失败后的最佳治疗策略仍是一个亟待解决的问题。本文就CDK4/6抑制剂的潜在耐药机制和后续治疗策略的最新研究进展做一综述。
【Abstract】 Cyclin-dependent kinase 4/6 (CDK4/6) inhibitors plus endocrine therapy have been used as standard first-or second-line treatment for patients with hormone receptor-positive,human epidermal growth factor receptor 2-negative advanced breast cancer.Although CDK4/6 inhibitors provide excellent control in patients with hormone receptor-positive advanced breast cancer,due to drug resistance cancer progression will eventually occur as treatment proceeds.At present,the resistance mechanism of CDK4/6 inhibitors is not fully understood,and the optimal treatment strategy after failure of CDK4/6 inhibitors remains an urgent problem.This review summarized the potential resistance mechanism and subsequent treatment strategies of CDK4/6 inhibitors.
【Key words】 cyclin-dependent kinase 4/6 inhibitor; breast cancer; resistance mechanism; endocrine therapy;
- 【文献出处】 中南药学 ,Central South Pharmacy , 编辑部邮箱 ,2024年04期
- 【分类号】R737.9
- 【下载频次】118