BRAF突变型非小细胞肺癌免疫检查点 抑制剂治疗进展

Zhongguo fei ai za zhi = Chinese journal of lung cancer(2019)

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Abstract
在非小细胞肺癌(non-small cell lung cancer,NSCLC)患者中,约2%-4%有BRAF基因突变,该型肿瘤恶性程度高、化疗有效率低、预后差.尽管BRAF抑制剂及MEK抑制剂联合治疗在BRAF V600E突变的晚期NSCLC患者中成效显著,已被写入美国国家综合癌症网络(National Comprehensive Cancer Network,NCCN)指南,但两药联合副作用发生率高,耐药之后尚无有效治疗策略,且针对非V600E突变患者仍缺乏靶向治疗方案.本文将针对BRAF突变型NSCLC免疫标志物表达情况以及免疫检查点抑制剂(immune checkpoint inhibitor,ICI)疗效相关研究做一综述,为延长患者生存提供更多选择方案.
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Key words
Immune checkpoint inhibitor therapy,Lung neoplasms,V-raf murine sar-coma viral oncogene homolog B1
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