【摘要】：結(jié)直腸癌是目前世界范圍內(nèi)致死率極高的一種惡性腫瘤,發(fā)病率呈逐年上升的趨勢(shì)。當(dāng)v-Ki-ras2 Kirsten大鼠肉瘤病毒癌基因同源物(v-Ki-ras2Kirsten rat sarcoma viral oncogene homolog,K-Ras)基因突變時(shí)患者極易出現(xiàn)復(fù)發(fā)和轉(zhuǎn)移,嚴(yán)重影響了直結(jié)腸癌的治療進(jìn)程。耐藥是腫瘤治療中的主要問題,K-Ras基因突變型直結(jié)腸癌的耐藥問題尤其突出,且目前缺少有效的治療對(duì)策。隨著對(duì)K-Ras基因突變后,腫瘤耐藥、復(fù)發(fā)和轉(zhuǎn)移機(jī)制研究的增多,直結(jié)腸癌分子標(biāo)志物不斷被發(fā)現(xiàn),新型藥物及相應(yīng)的聯(lián)合用藥方案不斷出現(xiàn),K-Ras突變型直結(jié)腸癌的治療也愈來愈趨向合理化,但其中仍存在許多問題。因此,本文將就K-Ras突變型結(jié)直腸癌的研究近況,從其突變特征、治療難點(diǎn)、研究突破和未來預(yù)測(cè)等方面對(duì)K-Ras基因突變型直結(jié)腸癌的研究進(jìn)展進(jìn)行綜述,希望能為后續(xù)臨床治療和研究提供一些有用參考。
[Abstract]:Colorectal cancer is a malignant tumor with high mortality in the world. The incidence of colorectal cancer is increasing year by year. When v-Ki-ras2 Kirsten rat sarcoma virus oncogene congener (v-Ki-ras2Kirsten rat sarcoma viral oncogene homolog,K-Ras) gene mutation, patients are prone to recurrence and metastasis, which seriously affects the treatment process of colon cancer. Drug resistance is a major problem in the treatment of cancer. The drug resistance of K-Ras gene mutant colorectal cancer is especially prominent, and there is a lack of effective treatment strategy. With the increase of studies on the mechanism of drug resistance, recurrence and metastasis of K-Ras gene, molecular markers of colorectal cancer have been found. With the emergence of new drugs and the corresponding combination of drugs, the treatment of K-Ras mutant colorectal cancer is becoming more and more rational, but there are still many problems. Therefore, this article will review the recent research progress of K-Ras mutant colorectal cancer, including its mutation characteristics, treatment difficulties, research breakthrough and future prediction. Hope to provide some useful reference for the follow-up clinical treatment and research.
【作者單位】： 南京中醫(yī)藥大學(xué)藥學(xué)院;江蘇省中藥藥效與安全性評(píng)價(jià)重點(diǎn)實(shí)驗(yàn)室;江蘇省中醫(yī)藥防治腫瘤協(xié)同創(chuàng)新中心;
【基金】：國(guó)家自然科學(xué)基金資助項(xiàng)目(編號(hào):81673648,81673725,81573859) 江蘇省自然科學(xué)基金資助項(xiàng)目(編號(hào):BK2012854) 江蘇省高校中藥學(xué)優(yōu)勢(shì)學(xué)科建設(shè)工程資助項(xiàng)目[編號(hào):蘇政辦發(fā)(2014)37號(hào)文] 中國(guó)博士后科學(xué)基金資助項(xiàng)目(編號(hào):2014M551639)~~
【分類號(hào)】：R735.34

【參考文獻(xiàn)】

相關(guān)期刊論文 前7條

1 Hakan Kocoglu;Fatih Mehmet Velibeyoglu;Mustafa Karaca;Deniz Tural;;Clinical efficacy and drug resistance of anti-epidermal growth factor receptor therapy in colorectal cancer[J];World Journal of Gastrointestinal Oncology;2016年01期

2 張志強(qiáng);高體云;李f，

本文編號(hào)：2268770