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胆囊癌的靶向治疗研究进展

杜丽文 刘建生

引用本文:
Citation:

胆囊癌的靶向治疗研究进展

DOI: 10.3969/j.issn.1001-5256.2023.12.032
利益冲突声明:本文不存在任何利益冲突。
作者贡献声明:杜丽文负责拟定写作思路,资料分析,撰写论文;刘建生负责修改论文并最后定稿。
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    通信作者:

    刘建生, 147542533@qq.com (ORCID: 0000-0002-6038-2560)

Research advances in targeted therapy for gallbladder carcinoma

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    Corresponding author: LIU Jiansheng, 147542533@qq.com (ORCID: 0000-0002-6038-2560)
  • 摘要: 胆囊癌(GBC)是一种预后极差的恶性肿瘤,外科手术是目前最有效的治疗手段。但由于该疾病早期缺乏典型症状,患者在确诊时大多已进展至中晚期,失去根治性手术切除机会。在现有的辅助治疗方法中,靶向治疗是一种特异性较高且副作用较小的治疗手段,对多种癌症的预后产生了积极的效果。本文通过研究GBC靶向治疗的最新进展,对GBC靶向治疗的研究现状、潜在靶点及靶向药物研究进行综述,以期为GBC患者的临床治疗提供参考。

     

  • [1] MCNAMARA MG, LOPES A, WASAN H, et al. Landmark survival analysis and impact of anatomic site of origin in prospective clinical trials of biliary tract cancer[J]. J Hepatol, 2020, 73( 5): 1109- 1117. DOI: 10.1016/j.jhep.2020.05.014.
    [2] HUNDAL R, SHAFFER EA. Gallbladder cancer: Epidemiology and outcome[J]. Clin Epidemiol, 2014, 6: 99- 109. DOI: 10.2147/CLEP.S37357.
    [3] LI YS, LI ML, LIU YB. Current status and future prospects of basic research on gallbladder carcinoma[J]. Chin J Pract Surg, 2021, 41( 1): 52- 55. DOI: 10.19538/j.cjps.issn1005-2208.2021.01.08.

    李永盛, 李茂岚, 刘颖斌. 胆囊癌相关基础研究现状与展望[J]. 中国实用外科杂志, 2021, 41( 1): 52- 55. DOI: 10.19538/j.cjps.issn1005-2208.2021.01.08.
    [4] LIU YB, CHEN W. Current situation and prospect in the clinical treatment of gallbladder cancer[J]. Chin J Dig Surg, 2023, 22( 1): 81- 88. DOI: 10.3760/cma.j.cn115610-20230109-00013.

    刘颖斌, 陈炜. 胆囊癌临床治疗的现状与展望[J]. 中华消化外科杂志, 2023, 22( 1): 81- 88. DOI: 10.3760/cma.j.cn115610-20230109-00013.
    [5] AZIZI AA, LAMARCA A, MCNAMARA MG, et al. Chemotherapy for advanced gallbladder cancer(GBC): A systematic review and meta-analysis[J]. Crit Rev Oncol Hematol, 2021, 163: 103328. DOI: 10.1016/j.critrevonc.2021.103328.
    [6] LABRIE M, BRUGGE JS, MILLS GB, et al. Therapy resistance: Opportunities created by adaptive responses to targeted therapies in cancer[J]. Nat Rev Cancer, 2022, 22( 6): 323- 339. DOI: 10.1038/s41568-022-00454-5.
    [7] CARNEIRO BA, EL-DEIRY WS. Targeting apoptosis in cancer therapy[J]. Nat Rev Clin Oncol, 2020, 17( 7): 395- 417. DOI: 10.1038/s41571-020-0341-y.
    [8] ZHANG YJ, ZUO CM, LIU LG, et al. Single-cell RNA-sequencing atlas reveals an MDK-dependent immunosuppressive environment in ErbB pathway-mutated gallbladder cancer[J]. J Hepatol, 2021, 75( 5): 1128- 1141. DOI: 10.1016/j.jhep.2021.06.023.
    [9] LI ML, ZHANG Z, LI XG, et al. Whole-exome and targeted gene sequencing of gallbladder carcinoma identifies recurrent mutations in the ErbB pathway[J]. Nat Genet, 2014, 46( 8): 872- 876. DOI: 10.1038/ng.3030.
    [10] LI MW, HAN GH. Research advances in molecular targeted therapy for advanced biliary tract cancer[J]. J Clin Hepatol, 2014, 30( 11): 1212- 1216. DOI: 10.3969/j.issn.1001-5256.2014.11.032.

    李明武, 韩国宏. 分子靶向药物治疗晚期胆道肿瘤的研究进展[J]. 临床肝胆病杂志, 2014, 30( 11): 1212- 1216. DOI: 10.3969/j.issn.1001-5256.2014.11.032.
    [11] TAN CS, KUMARAKULASINGHE NB, HUANG YQ, et al. Third generation EGFR TKIs: Current data and future directions[J]. Mol Cancer, 2018, 17( 1): 29. DOI: 10.1186/s12943-018-0778-0.
    [12] MODY K, STRAUSS E, LINCER R, et al. Complete response in gallbladder cancer to erlotinib plus gemcitabine does not require mutation of the epidermal growth factor receptor gene: A case report[J]. BMC Cancer, 2010, 10: 570. DOI: 10.1186/1471-2407-10-570.
    [13] LUBNER SJ, MAHONEY MR, KOLESAR JL, et al. Report of a multicenter phase II trial testing a combination of biweekly bevacizumab and daily erlotinib in patients with unresectable biliary cancer: A phase II Consortium study[J]. J Clin Oncol, 2010, 28( 21): 3491- 3497. DOI: 10.1200/JCO.2010.28.4075.
    [14] CHEN JS, HSU C, CHIANG NJ, et al. A KRAS mutation status-stratified randomized phase II trial of gemcitabine and oxaliplatin alone or in combination with cetuximab in advanced biliary tract cancer[J]. Ann Oncol, 2015, 26( 5): 943- 949. DOI: 10.1093/annonc/mdv035.
    [15] CAI W, YUAN Y, GE WT, et al. EGFR target therapy combined with gemox for advanced biliary tract cancers: A meta-analysis based on RCTs[J]. J Cancer, 2018, 9( 8): 1476- 1485. DOI: 10.7150/jca.23290.
    [16] SONG XL, HU YP, LI YS, et al. Overview of current targeted therapy in gallbladder cancer[J]. Signal Transduct Target Ther, 2020, 5( 1): 230. DOI: 10.1038/s41392-020-00324-2.
    [17] YANG PZ, JAVLE M, PANG F, et al. Somatic genetic aberrations in gallbladder cancer: Comparison between Chinese and US patients[J]. Hepatobiliary Surg Nutr, 2019, 8( 6): 604- 614. DOI: 10.21037/hbsn.2019.04.11.
    [18] KIGUCHI K, CARBAJAL S, CHAN K, et al. Constitutive expression of ErbB-2 in gallbladder epithelium results in development of adenocarcinoma[J]. Cancer Res, 2001, 61( 19): 6971- 6976.
    [19] JEONG H, JEONG JH, KIM KP, et al. Feasibility of HER2-targeted therapy in advanced biliary tract cancer: A prospective pilot study of trastuzumab biosimilar in combination with gemcitabine plus cisplatin[J]. Cancers, 2021, 13( 2): 161. DOI: 10.3390/cancers13020161.
    [20] LEE CK, CHON HJ, CHEON J, et al. Trastuzumab plus FOLFOX for HER2-positive biliary tract cancer refractory to gemcitabine and cisplatin: A multi-institutional phase 2 trial of the Korean Cancer Study Group(KCSG-HB19-14)[J]. Lancet Gastroenterol Hepatol, 2023, 8( 1): 56- 65. DOI: 10.1016/S2468-1253(22)00335-1.
    [21] YANG J, YAN J, LIU BR. Targeting VEGF/VEGFR to modulate antitumor immunity[J]. Front Immunol, 2018, 9: 978. DOI: 10.3389/fimmu.2018.00978.
    [22] ZHU AX, MEYERHARDT JA, BLASZKOWSKY LS, et al. Efficacy and safety of gemcitabine, oxaliplatin, and bevacizumab in advanced biliary-tract cancers and correlation of changes in 18-fluorodeoxyglucose PET with clinical outcome: A phase 2 study[J]. Lancet Oncol, 2010, 11( 1): 48- 54. DOI: 10.1016/S1470-2045(09)70333-X.
    [23] IYER RV, GROMAN A, MA WW, et al. Gemcitabine(G), capecitabine(C) and bevacizumab(BV) in patients with advanced biliary cancers(ABC): Final results of a multicenter phase II study[J]. J Clin Oncol, 2015, 33( 15_suppl): 4078. DOI: 10.1200/jco.2015.33.15_suppl.4078.
    [24] XU JM, BAI YX, SUN HC, et al. A single-arm, multicenter, open-label phase 2 trial of surufatinib in patients with unresectable or metastatic biliary tract cancer[J]. Cancer, 2021, 127( 21): 3975- 3984. DOI: 10.1002/cncr.33803.
    [25] BENGALA C, BERTOLINI F, MALAVASI N, et al. Sorafenib in patients with advanced biliary tract carcinoma: A phase II trial[J]. Br J Cancer, 2010, 102( 1): 68- 72. DOI: 10.1038/sj.bjc.6605458.
    [26] ALZAHRANI AS. PI3K/Akt/mTOR inhibitors in cancer: At the bench and bedside[J]. Semin Cancer Biol, 2019, 59: 125- 132. DOI: 10.1016/j.semcancer.2019.07.009.
    [27] CORTI F, NICHETTI F, RAIMONDI A, et al. Targeting the PI3K/AKT/mTOR pathway in biliary tract cancers: A review of current evidences and future perspectives[J]. Cancer Treat Rev, 2019, 72: 45- 55. DOI: 10.1016/j.ctrv.2018.11.001.
    [28] TAN ES, CAO BW, KIM J, et al. Phase 2 study of copanlisib in combination with gemcitabine and cisplatin in advanced biliary tract cancers[J]. Cancer, 2021, 127( 8): 1293- 1300. DOI: 10.1002/cncr.33364.
    [29] VALLE JW, LAMARCA A, GOYAL L, et al. New horizons for precision medicine in biliary tract cancers[J]. Cancer Discov, 2017, 7( 9): 943- 962. DOI: 10.1158/2159-8290.CD-17-0245.
    [30] COSTELLO BA, BORAD MJ, QI YW, et al. Phase I trial of everolimus, gemcitabine and cisplatin in patients with solid tumors[J]. Invest New Drugs, 2014, 32( 4): 710- 716. DOI: 10.1007/s10637-014-0096-3.
    [31] KIM RD, MCDONOUGH S, EL-KHOUEIRY AB, et al. Randomised phase II trial(SWOG S1310) of single agent MEK inhibitor trametinib Versus 5-fluorouracil or capecitabine in refractory advanced biliary cancer[J]. Eur J Cancer, 2020, 130: 219- 227. DOI: 10.1016/j.ejca.2020.01.026.
    [32] BEKAII-SAAB T, PHELPS MA, LI XB, et al. Multi-institutional phase II study of selumetinib in patients with metastatic biliary cancers[J]. J Clin Oncol, 2011, 29( 17): 2357- 2363. DOI: 10.1200/JCO.2010.33.9473.
    [33] DANG W, BIAN R, FAN QQ, et al. KIF11 promotes cell proliferation via ERBB2/PI3K/AKT signaling pathway in gallbladder cancer[J]. Int J Biol Sci, 2021, 17( 2): 514- 526. DOI: 10.7150/ijbs.54074.
    [34] YAN XZ, YANG PH, LIU H, et al. miR-4461 inhibits the progression of Gallbladder carcinoma via regulating EGFR/AKT signaling[J]. Cell Cycle, 2022, 21( 11): 1166- 1177. DOI: 10.1080/15384101.2022.2042775.
    [35] WEI Y, REN XX, GALBO PM Jr, et al. KIR3DL3-HHLA2 is a human immunosuppressive pathway and a therapeutic target[J]. Sci Immunol, 2021, 6( 61): eabf9792. DOI: 10.1126/sciimmunol.abf9792.
    [36] LIU LG, LI Y, CAO DY, et al. SIRT3 inhibits gallbladder cancer by induction of AKT-dependent ferroptosis and blockade of epithelial-mesenchymal transition[J]. Cancer Lett, 2021, 510: 93- 104. DOI: 10.1016/j.canlet.2021.04.007.
    [37] LI ML, LIU FT, ZHANG F, et al. Genomic ERBB2/ERBB3 mutations promote PD-L1-mediated immune escape in gallbladder cancer: A whole-exome sequencing analysis[J]. Gut, 2019, 68( 6): 1024- 1033. DOI: 10.1136/gutjnl-2018-316039.
    [38] NEYAZ A, HUSAIN N, KUMARI S, et al. Clinical relevance of PD-L1 expression in gallbladder cancer: A potential target for therapy[J]. Histopathology, 2018, 73( 4): 622- 633. DOI: 10.1111/his.13669.
    [39] PIHA-PAUL SA, OH DY, UENO M, et al. Efficacy and safety of pembrolizumab for the treatment of advanced biliary cancer: Results from the KEYNOTE-158 and KEYNOTE-028 studies[J]. Int J Cancer, 2020, 147( 8): 2190- 2198. DOI: 10.1002/ijc.33013.
    [40] KANG J, JEONG JH, HWANG HS, et al. Efficacy and safety of pembrolizumab in patients with refractory advanced biliary tract cancer: Tumor proportion score as a potential biomarker for response[J]. Cancer Res Treat, 2020, 52( 2): 594- 603. DOI: 10.4143/crt.2019.493.
    [41] KIM RD, CHUNG V, ALESE OB, et al. A phase 2 multi-institutional study of nivolumab for patients with advanced refractory biliary tract cancer[J]. JAMA Oncol, 2020, 6( 6): 888- 894. DOI: 10.1001/jamaoncol.2020.0930.
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  • 收稿日期:  2023-03-19
  • 录用日期:  2023-05-12
  • 出版日期:  2023-12-12
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