创新链/学科链/研发链/产业链

新药研发前沿动态 / 医药领域趋势进展

易培强, 陈佳艺. 放射联合靶向药物治疗乳腺癌的心脏安全性探讨[J]. 药学进展, 2018, 42(7): 506-511.
引用本文: 易培强, 陈佳艺. 放射联合靶向药物治疗乳腺癌的心脏安全性探讨[J]. 药学进展, 2018, 42(7): 506-511.
YI Peiqiang, CHEN Jiayi. Cardiac Safety of Combined Therapy of Radiation and Targeted Antitumor Drugs in the Treatment of Breast Cancer[J]. Progress in Pharmaceutical Sciences, 2018, 42(7): 506-511.
Citation: YI Peiqiang, CHEN Jiayi. Cardiac Safety of Combined Therapy of Radiation and Targeted Antitumor Drugs in the Treatment of Breast Cancer[J]. Progress in Pharmaceutical Sciences, 2018, 42(7): 506-511.

放射联合靶向药物治疗乳腺癌的心脏安全性探讨

Cardiac Safety of Combined Therapy of Radiation and Targeted Antitumor Drugs in the Treatment of Breast Cancer

  • 摘要: 随着肿瘤诊疗技术的进步,肿瘤患者的存活时间得以延长。但是抗肿瘤治疗所带来的不良反应,如心脏毒性严重影响了患者的生存质量,甚至抵消了一部分的生存获益,因此应重视与肿瘤治疗相关的心脏不良反应。靶向药物和放射治疗是抗肿瘤治疗的重要组成部分,在多学科治疗理念的指导下,某些类型的肿瘤(如部分Her-2阳性的乳腺癌)患者,通常需要接受靶向药物和放射治疗的联合治疗。目前已知靶向药物(如曲妥珠单抗)和胸部放射治疗会分别引起不同类型的心脏损伤,但是靶向药物联合放射治疗对心脏的不良反应有待进一步的研究,对以上2种抗肿瘤治疗联合模式下的心脏安全性相关研究进展加以讨论,以期为相关研究提供参考。

     

    Abstract: With the progress in the diagnosis and treatment of tumor, the survival time of tumor patients has been prolonged. However, the adverse effects of antitumor treatment such as cardiotoxicity have seriously affected the patients' quality of life and even offset some survival benefits. Therefore, great importance should be attached to the adverse cardiovascular effects of antitumor treatment. Targeted drugs and radiation therapy are both important parts of antitumor therapy. Under the guidance of multidisciplinary therapy, some types of tumors, such as some Her-2 positive breast cancers, usually require combined therapy of targeted drugs and radiation. It has been proved that targeted drugs (such as trastuzumab) or chest radiotherapy alone can cause different types of heart injuries, but the adverse reactions brought by combined therapy of targeted drug and radiation need further investigation. This article discussed the research progress in cardiac safety of the above-mentioned combined antitumor treatment, so as to provide reference for relevant studies.

     

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