受体酪氨酸激酶AXL在肿瘤靶向治疗耐药中的作用OA
Role of Receptor Tyrosine Kinase AXL in Cancer Targeted Therapy Drug Resistance
尽管近年来靶向治疗在肿瘤治疗中取得突破性进展,但耐药性仍是临床面临的重大挑战.已有大量研究证据表明,受体酪氨酸激酶AXL的高表达与肿瘤患者靶向治疗耐药及不良预后高度相关.AXL能够通过改变肿瘤细胞表型、调控DNA损伤修复过程、促进原癌旁路激活和与酪氨酸激酶互作等多种方式,促进耐药发生.临床前及临床研究结果显示,联合抑制AXL能够增强多种靶向治疗疗效,并改善耐药患者预后.本文综述了AXL在肿瘤靶向治疗耐药中的具体作用及靶向AXL治疗策略的研究进展,深入探讨联合靶向AXL在临床应用中的潜在价值,并对其在创新性靶向治疗方案研发和肿瘤精准化治疗中的应用前景进行展望.
Although targeted therapy has made significant advances in cancer treatment throughout these years,drug resistance still remains a major obstacle.Plenty of evidence has proved that abnormal expression of receptor tyrosine ki-nase AXL is associated with targeted therapy resistance and poor clinical outcomes.AXL drives drug resistance through diverse mechanisms,including altering tumor cell phenotypes,orchestrating DNA damage response process,promoting the activation of bypass signals,or interacting with other receptor tyrosine kinases.Preclinical and clinical studies have demonstrated that combined inhibition of AXL and the other target can enhance the efficacy of various targeted therapies and improve outcomes for patients with drug resistance.This review summarizes recent advances in the specific roles of AXL in targeted therapy re-sistance and AXL-targeted treatment strategies.It further explores the potential clinical value of combinatorial approaches in-volving AXL inhibition and discusses future directions for its application in developing novel targeted therapies and advancing precision oncology treatment.
詹苏彤;陈沛林;吕镗烽;宋勇
210000 南京,南京大学医学院附属金陵医院210000 南京,南京大学医学院附属金陵医院210000 南京,南京大学医学院附属金陵医院210000 南京,南京大学医学院附属金陵医院
AXL肿瘤靶向治疗耐药
AXLCancerTargeted therapyDrug resistance
《中国肺癌杂志》 2026 (1)
68-76,9
This paper was supported by the grant from the National Natural Science Foundation of China(No.82370096,to Tangfeng LV). 本文受国家自然科学基金项目(No.82370096)资助
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