中国实用外科杂志 ›› 2010, Vol. 30 ›› Issue (07): 537-539.

• 专题笔谈 • 上一篇    下一篇

肝细胞癌的分子靶向治疗

 叶胜龙   

  1. 复旦大学中山医院肝癌研究所,上海200032
  • 出版日期:2010-07-01 发布日期:2010-06-17

  • Online:2010-07-01 Published:2010-06-17

摘要:

对于不能手术或远处转移的肝细胞癌(HCC)病人,分子靶向治疗可作为一种有效的治疗方法,其机制和临床应用的研究正在世界各地开展。索拉非尼治疗HCC的Ⅲ期临床试验证明对晚期肝癌有效。因此在欧洲、美国、中国以及其他一些国家和地区,先后批准索拉非尼用于治疗无法手术切除的或远处转移的HCC。目前正在进一步探索索拉非尼与其他抗肿瘤治疗的综合应用,基因靶向治疗的探索正处于实验研究阶段并已取得显著进展,有望成为肝癌靶向治疗新的途径。

关键词: 肝细胞癌, 分子靶向治疗

Abstract:

Molecular targeted therapy of HCC        YE Sheng-long. Liver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai200032, China
Abstract    Molecular targeted therapy revealed an encouraging outcome in inoperable or metastatic HCC patients as an effective systemic therapy. The mechanism and clinical application of molecular targeted therapies in HCC were investigated worldwide. The international phase III randomised clinical trials demonstrated efficacy of sorafenib for the treatment of advanced HCC. Sorafenib was consequently approved for treatment of advanced HCC in Europe, USA and China, as well as in other countries and regions. Intensive studies were conducted to investigate further efficacy of sorafenib in combination with other treatments, including surgery, TACE and other molecular targeted therapies. Phase Ⅰ or Ⅱ clinical trials with other molecular targeted therapies were conducted, and resulted in preliminarily therapeutic effects in HCC patients. Some experimental studies of genetic therapeutic approaches to targeting HCC are under investigation.

Key words: hepatocellular carcinoma, molecular targeted therapy