ÀûÀ´w66

×ðÖØ¿ÆÑ§ ¾´Î·ÖÆ¶È ×·ÇóЧÂÊ ¹Ø°®ÉúÃü

ѧÊõ¶¯Ì¬

ѧÊõ¶¯Ì¬




ÀûÀ´w66¹¹½¨LOXO-292ÄÍҩ˫ͻ±ä¹¤³Ìϸ°ûÖêÖúÁ¦RETÒÖÖÆ¼Á¿ª·¢


Ðû²¼Ê±¼ä£º

2021-06-22

RET£¨Rearranged during transfection£©»ùÒòÓÚ1985ÄêÊ×´ÎÔÚÈËTÁܰÍÁöϸ°ûÖз¢Ã÷£¬£¬£¬£¬£¬ £¬ÇÒ±»ÅжÏΪһ¸öÔ­°©»ùÒò£¬£¬£¬£¬£¬ £¬RET»ùÒòλÓÚÈËÀà10ºÅ³£È¾É«Ì峤±Û£¨10q11.2£©£¬£¬£¬£¬£¬ £¬±àÂëÒ»ÖÖ±£´æÓÚϸ°ûĤÉϵÄÊÜÌåÀÒ°±Ëἤø£¨RTK£©[1]¡£ ¡£¡£¡£¡£ ¡£¡£¡£RETÂѰ×ÔÚ³ÉÊìÀú³ÌÖУ¬£¬£¬£¬£¬ £¬ÂѰ×ǰÌåͨ¹ý²î±ðµÄÑ¡ÔñÐÔ¼ôÇз½·¨£¬£¬£¬£¬£¬ £¬Ö÷ÒªÐγÉÁ½ÖÖÂѰ×ÑÇÐÍRET-9ºÍRET-51¡£ ¡£¡£¡£¡£ ¡£¡£¡£RET¼¤Ã¸±»Éñ¾­½ºÖÊϸ°ûϵȪԴµÄÉñı»®ÑøÉú³¤Òò×ÓGDNF¼¤»î£¬£¬£¬£¬£¬ £¬GFNFÓëGFRα1Á¬ÏµÐγÉGDNF-GFRα1¸´ºÏÎ£¬£¬£¬£¬ £¬´Ë¸´ºÏÎïÔÙÓëRETÁ¬ÏµÐγÉÈý¸´ºÏÌ壬£¬£¬£¬£¬ £¬ÒýÆðRETµÄ¶þ¾Û»¯£¬£¬£¬£¬£¬ £¬²¢ÒýÆðÀÒ°±Ëá²Ð»ù×ÔÁ×Ëữ£¬£¬£¬£¬£¬ £¬´Ó¶ø¼¤»îÏÂÓÎÐźÅͨ·[2]£¬£¬£¬£¬£¬ £¬°üÀ¨RAS/MARK¡¢PI3K/AKT¡¢PLCγ/PKCµÈÐźÅͨ·£¬£¬£¬£¬£¬ £¬½ø¶øÒýÆðϸ°ûµÄÔöÖ³·Ö½â¡¢Ç¨áã¡¢ÔÙÉúºÍÉú³¤µÈ[1]¡£ ¡£¡£¡£¡£ ¡£¡£¡£

 

ͼ1. a) RET¼¤Ã¸½á¹¹;b) RET¼¤Ã¸»î»¯»úÖÆ¼°ÐźÅͨ·¡£ ¡£¡£¡£¡£ ¡£¡£¡£

(ͼƬȪԴÓڲο¼×ÊÁÏ[2])

 

RET»ùÒòÖ°©»úÖÆ£¬£¬£¬£¬£¬ £¬Ö÷ÒªÓлùÒòÈںϡ¢µãÍ»±ä¡¢»ùÒòÀ©ÔöºÍȾɫÌåÖØÅŵÈ[3]¡£ ¡£¡£¡£¡£ ¡£¡£¡£È¾É«ÌåµÄÖØ×é³£»£»£»£»£»£»áµ¼ÖÂRET»ùÒòÖÐÖÐÖ¹ÁѺóÓë²î±ðµÄÉÏÓλùÒò±¬·¢Èںϣ¬£¬£¬£¬£¬ £¬½ø¶øÐγÉÇý¶¯Ö×Áöϸ°ûÔöÖ³µÄÈںϻùÒò¡£ ¡£¡£¡£¡£ ¡£¡£¡£ÔÚ1990ÄêºÍ2012ÄêÏȺóÔÚ¼××´ÏÙÈéÍ·×´°©¡¢·ÎÏÙ°©ºÍÂýÐÔËèϵ°×Ѫ²¡Öз¢Ã÷ÕâÒ»±äÒì¡£ ¡£¡£¡£¡£ ¡£¡£¡£ÆäÖÐÈںϻùÒòÖ÷ÒªÓУºKIF5B-RET£¨×î¶à£©£¬£¬£¬£¬£¬ £¬CCDC6-RETºÍNCOA4-RET£»£»£»£»£»£»RET»ùÒòÔÚNSCLC»¼ÕßÖ÷ÒªÒÔRET»ùÒòÈÚºÏÐÎʽ±¬·¢¸Ä±ä£¬£¬£¬£¬£¬ £¬Ñо¿ÏÔʾ·ÇСϸ°û·Î°©ÖÐKIF5B©\RETÈÚºÏÔ¼Õ¼ËùÓÐRETÈÚºÏµÄ 68.3 %£¬£¬£¬£¬£¬ £¬Æä´ÎΪCCDC6©\RET (16.8 %)¼°NCOA4©\RET (1.2 %)[4]¡£ ¡£¡£¡£¡£ ¡£¡£¡£ËäÈ»RET»ùÒòÔÚNSCLC»¼ÕßÖеķ¢²¡ÂʽöΪ1.4 %-2.5 %£¬£¬£¬£¬£¬ £¬¿ÉÊÇÎÒ¹úµÄ»¼Õß»ùÊýºÜÊǴ󣬣¬£¬£¬£¬ £¬Òò¶øÐ¯´øRET»ùÒòÈںϵÄNSCLC»¼Õß²¢²»ÉÙ¼û[5]¡£ ¡£¡£¡£¡£ ¡£¡£¡£µãÍ»±ä¶àλÓÚGate keeper²Ð»ù£¬£¬£¬£¬£¬ £¬Ö÷ÒªÊÇV804λµã£¨V804M£¬£¬£¬£¬£¬ £¬V804L£©£¬£¬£¬£¬£¬ £¬»¹°üÀ¨ÈܼÁÇ°ÑØÍ»±äG810λµã£¨G810R£¬£¬£¬£¬£¬ £¬G810S£¬£¬£¬£¬£¬ £¬G810C£¬£¬£¬£¬£¬ £¬G810A£¬£¬£¬£¬£¬ £¬G810V£©¡¢M918TºÍC634λµã£¨C634R£¬£¬£¬£¬£¬ £¬C634G£¬£¬£¬£¬£¬ £¬C634F£¬£¬£¬£¬£¬ £¬C634S£¬£¬£¬£¬£¬ £¬C634W£¬£¬£¬£¬£¬ £¬C634Y£¬£¬£¬£¬£¬ £¬C634K£©Í»±äµÈ[1]¡£ ¡£¡£¡£¡£ ¡£¡£¡£

 

A

ͼ2. ²î±ð°©Ö¢ÖÐRET»ùÒò¸Ä±äµÄ¸ÅÊö¡£ ¡£¡£¡£¡£ ¡£¡£¡£

(ͼƬȪԴÓڲο¼×ÊÁÏ[3])

 

A

ͼ3. RET»ùÒòµÄÖ÷ÒªÈںϷ½·¨ºÍµãÍ»±äλµã¡£ ¡£¡£¡£¡£ ¡£¡£¡£

(ͼƬȪԴÓڲο¼×ÊÁÏ[1])

 

2011ÄêºÍ2013Ä꣬£¬£¬£¬£¬ £¬FDAºÍEMA»®·ÖÅú×¼VandetanibºÍCabozantinibÓÃÓÚÖÎÁÆÏ£ÍûµÄÍíÆÚµÄMTC»¼Õߣ¬£¬£¬£¬£¬ £¬²¢ÒÑÔÚRETÈÚºÏÑôÐÔNSCLC»¼ÕßÖÐÏÔʾ³ö»îÐÔ[1]¡£ ¡£¡£¡£¡£ ¡£¡£¡£µ«ÉÏÊöÒ©ÎïÕûÌ幨ÓÚRET»ùÒòÈÚºÏÍ»±äµÄ°ÐÏòÌØÒìÐÔ²¢²»Ç¿£¬£¬£¬£¬£¬ £¬Æä²»µ«ÒÖÖÆRETÂѰ×Ðźţ¬£¬£¬£¬£¬ £¬Í¬Ê±»áÒÖÖÆVEGFR¡¢EGFRµÈÆäËûÂѰף¬£¬£¬£¬£¬ £¬ÓÐÓÃÐÔÏà¶Ô½Ï²î£¬£¬£¬£¬£¬ £¬ÇÒ¸±×÷ÓúͷǰÐÏò¶¾ÐÔÔöÌí¡£ ¡£¡£¡£¡£ ¡£¡£¡£2020Äê5ÔÂ9ÈÕ£¬£¬£¬£¬£¬ £¬FDA¼ÓËÙÅú×¼ÁËLoxo Oncology¹«Ë¾(ÀñÀ´ÆìÏÂ)selpercatinib(LOXO-292£¬£¬£¬£¬£¬ £¬Retevmo)ÉÏÊУ¬£¬£¬£¬£¬ £¬ÓÃÓÚÖÎÁƲ¿·ÖRETÈںϻùÒòµÄ·ÇСϸ°û·Î°©³ÉÈË»¼Õߣ¬£¬£¬£¬£¬ £¬ºÍÍíÆÚRETÍ»±äÑôÐÔ¼××´ÏÙËèÑù°©(MTC)»¼Õß¼°ÍíÆÚ»ò×ªÒÆµÄRETÈÚºÏÑôÐÔ¼××´ÏÙ°©»¼Õß¡£ ¡£¡£¡£¡£ ¡£¡£¡£ÕâÊÇFDAÅú×¼µÄÊ׿î¸ßÑ¡ÔñÐÔRET¼¤Ã¸ÒÖÖÆ¼Á¡£ ¡£¡£¡£¡£ ¡£¡£¡£Selpercatinib(LOXO-292)ÊǿڷþÓÃÒ©µÄATP¾ºÕùÐÔС·Ö×ÓRET¼¤Ã¸ÒÖÖÆ¼Á£¬£¬£¬£¬£¬ £¬Ëü¾ßÓд©Í¸ÖÐÊàÉñ¾­ÏµÍ³(CNS)µÄÄÜÁ¦£¬£¬£¬£¬£¬ £¬²¢ÇÒ¿ÉÒÔ°ÐÏò¼¤»îÐÔRETÈںϡ¢µãÍ»±äºÍijЩ»ñµÃÐÔÄÍÒ©Í»±ä(¶Ô°üÀ¨KIF5B-RETºÍCCDC6-RETÈÚºÏÀàÐÍ£¬£¬£¬£¬£¬ £¬ÒÔ¼°RET-V804L/MºÍM918TÄÍÒ©Í»±äÃô¸Ð)[1]¡£ ¡£¡£¡£¡£ ¡£¡£¡£2020Äê9ÔÂ5ÈÕ£¬£¬£¬£¬£¬ £¬FDAÅú×¼À¶Í¼¹«Ë¾(Blueprint Medicines Corporation)¿ª·¢µÄRETÒÖÖÆ¼ÁPralsetinib(BLU-667£¬£¬£¬£¬£¬ £¬Gavreto)ÉÏÊУ¬£¬£¬£¬£¬ £¬ÓÃÓÚÖÎÁÆRETÈÚºÏÑôÐÔ×ªÒÆÐÔ·ÇСϸ°û·Î°©(NSCLC)³ÉÈË»¼Õß[1]¡£ ¡£¡£¡£¡£ ¡£¡£¡£2021Äê3ÔÂ24ÈÕ£¬£¬£¬£¬£¬ £¬BLU667(ÆÕÀ­ÌæÄá, ÉÌÆ·Ãû£ºÆÕ¼ª»ª®)»ñµÃÖйú¹ú¼ÒÒ©Æ·¼àÊÓÖÎÀí¾Ö(NMPA)Åú×¼£¬£¬£¬£¬£¬ £¬ÓÃÓÚ¼ÈÍù½ÓÊܹýº¬²¬»¯ÁƵÄRET»ùÒòÈÚºÏÑôÐԵľֲ¿ÍíÆÚ»ò×ªÒÆÐÔNSCLC³ÉÈË»¼Õߣ¬£¬£¬£¬£¬ £¬³ÉΪº£ÄÚÊ׸öÒ²ÊÇÏÖÔÚΨһ»ñÅúµÄRETÒÖÖÆ¼Á[1]¡£ ¡£¡£¡£¡£ ¡£¡£¡£

²»¹ý£¬£¬£¬£¬£¬ £¬ÓÌÈçÆäËû°ÐÏòÒ©Ò»Ñù£¬£¬£¬£¬£¬ £¬ÄÍÒ©ÊDz»¿É×èÖ¹µÄ¡£ ¡£¡£¡£¡£ ¡£¡£¡£2020Äê1ÔÂ24ÈÕ£¬£¬£¬£¬£¬ £¬¡¶J Thorac Oncol¡·±¨µÀÁË2ÀýRETÈںϷÇСϸ°û·Î°©»¼ÕßÔÚʹÓÃLOXO-292ºó·ºÆðÈܼÁÇ°ÑØÍ»±ä(RET G810R/S/C)£¬£¬£¬£¬£¬ £¬½ø¶øµ¼ÖÂLOXO-292ÄÍÒ©¡£ ¡£¡£¡£¡£ ¡£¡£¡£½á¹¹Ä£×ÓÕ¹Íû£¬£¬£¬£¬£¬ £¬RETÈܼÁÇ°ÑØÍ»±äG810R/S/C/VÍ»±äÔÚ¿Õ¼äÉÏ×è°­ÁËSelpercatinibµÄÁ¬Ïµ£¬£¬£¬£¬£¬ £¬ÌåÍâÊÔÑé֤ʵ¿¹RET¶à¼¤Ã¸ÒÖÖÆ¼ÁMKIºÍÑ¡ÔñÐÔRET TKIs¾ùʧȥ»îÐÔ£¬£¬£¬£¬£¬ £¬Pralsetinib(BLU-667)¶ÔG810SÃô¸Ð[6]¡£ ¡£¡£¡£¡£ ¡£¡£¡£2021Äê4ÔÂ10ºÅ£¬£¬£¬£¬£¬ £¬Loxo Oncology¹«Ë¾±¨µÀ£¬£¬£¬£¬£¬ £¬ÔÚ»¼ÕßÖзºÆðRETÈܼÁÇ°ÑØÍ»±äG810λµãºÍÃÅ¿ØÍ»±äV804λµãµÄ˫ͻ±ä£¬£¬£¬£¬£¬ £¬¼°M918TλµãºÍÈܼÁÇ°ÑØÍ»±äG810λµãµÄ˫ͻ±ä¡£ ¡£¡£¡£¡£ ¡£¡£¡£ÌåÍâʵÑéЧ¹ûÏÔʾ£¬£¬£¬£¬£¬ £¬RET±¬·¢Ë«Í»±äºó£¬£¬£¬£¬£¬ £¬¶ÔSelpercatinib(LOXO-292)ºÍPralsetinib(BLU-667)ÒÖÖÆ¼Á²»Ãô¸Ð[7]¡£ ¡£¡£¡£¡£ ¡£¡£¡£

 

A

ͼ4. Ñ¡ÔñÐÔRETÒÖÖÆ¼ÁÄÍÒ©ÐÔµÄÄ£Äâ¡£ ¡£¡£¡£¡£ ¡£¡£¡£

(ͼƬȪԴÓڲο¼×ÊÁÏ[6])

Õë¶ÔRET¼¤Ã¸ÒÖÖÆ¼ÁÒ©Î↑·¢ºÍÐèÇ󣬣¬£¬£¬£¬ £¬ÀûÀ´w66¹¹½¨Ò»ÏµÁÐBa/F3-RET˫ͻ±äµÄ¹¤³Ìϸ°ûÖ꣬£¬£¬£¬£¬ £¬ÓÃÓÚÕë¶ÔRET°ÐµãµÄ»¯ºÏÎïɸÐò¼°¶¯ÎïҩЧÆÀ¼Û£¬£¬£¬£¬£¬ £¬½Ó´ý¿í´ó¿Í»§×ÉѯÏàÖú¡£ ¡£¡£¡£¡£ ¡£¡£¡£

ϸ°ûÖêÁбí

A

 

²¿·Öϸ°ûÖêÌåÍâÑéÖ¤Êý¾Ý

A

 

²¿·Öϸ°ûÖêÌåÄÚÄ£×ÓÑéÖ¤Êý¾Ý

BLU-667 in Ba/F3-KIF5B-RET Model

 

BLU-667¡¢LOXO-292 in Ba/F3-KIF5B-RET-V804M Model

 

BLU-667¡¢LOXO-292 in Ba/F3-KIF5B-RET-V804L Model

 

BLU-667¡¢LOXO-292 in Ba/F3-KIF5B-RET-G810C Model

 

BLU-667¡¢LOXO-292 in Ba/F3-KIF5B-RET-G810R Model

 

BLU-667¡¢LOXO-292 in Ba/F3-KIF5B-RET-G810S Model

 

²¿·ÖCDXÄ£×ÓÑéÖ¤Êý¾Ý

LOXO-292 in LC-2/ad Model

 

LOXO-292 in TT Model

 

²Î¿¼ÎÄÏ×¼°Í¼Æ¬ÈªÔ´£º

1. The importance of the RET gene in thyroid cancer and therapeutic implications. Nature, 2021 May,17:296–306.

2. To Bud or not to Bud: The RET perspective in CAKUT. Pediatr Nephrol. 2014 Apr; 29(4): 597–608.

3. RET Aberrations in Diverse Cancers. Clin Cancer Res; 23(8) April 15, 2017,1988-1997.

4. Curigliano G, et al. 2021 ASCO, Poster 9089.

5.Öйú·ÇСϸ°û·Î°© RET »ùÒòÈÚºÏÁÙ´²¼ì²âר¼Ò¹²Ê¶. Öлª²¡ÀíѧÔÓÖ¾, 2021, 50(6): 583-591.

6. RET Solvent Front Mutations Mediate Acquired Resistance to Selective RET Inhibition in RET-Driven Malignancies. Journal of Thoracic Oncology Vol. 2020.15 No. 4: 541-549.

7. Pre-clinical characterization of potent and selective next-generation RET inhibitors. Loxo Oncology at Lilly. Presented at: AACR Annual Meeting 2021.

ÕÐÏÍÄÉÊ¿

ÀûÀ´w66¹«ÖÚºÅ

ÀûÀ´w66¹«ÖÚºÅ

Á¢ÒìÒ©ÎïÆÀ¼Û

Á¢ÒìÒ©ÎïÆÀ¼Û

ÖÐÒ½¿Æ

ÖпÆÒ½ÂöС³ÌÐò

µç»°£º4006 0551 06£¨¹Ù·½ÈÈÏߣ©   
         0551—67129201£¨¹«Ë¾×ܲ¿£©
ÍøÖ·£ºwww.precedo.cn                           
µØµã£ººÏ·ÊÊиßÐÂÇøÏ°ÓÑ·¹ú¼Ò¿µ½¡´óÊý¾Ý¹¤ÒµÔ°A6¶°

Copyright ©  2021 ÀûÀ´w66 °æÈ¨ËùÓР  |   SEO±êÇ©

ÍøÕ¾½¨É裺ÖÐÆó¶¯Á¦ ºÏ·Ê

%E7%AC%AC%E4%B8%80%EF%BC%8C%E6%9C%80%EF%BC%8C%E4%BC%98%E7%A7%80%EF%BC%8C%E5%A2%9E%E5%BC%BA%EF%BC%8C%E4%B8%80%E6%B5%81%EF%BC%8C%E5%8D%93%E8%B6%8A%EF%BC%8C%E9%A2%86%E5%85%88%EF%BC%8C%E5%85%88%E8%BF%9B%EF%BC%8C%E5%BC%95%E9%A2%86

Sorry£¬£¬£¬£¬£¬ £¬Ä¿½ñÀ¸Ä¿ÔÝÎÞÄÚÈÝ!

Äú¿ÉÒÔÉó²éÆäËûÀ¸Ä¿»ò·µ»Ø Ê×Ò³

Sorry£¬£¬£¬£¬£¬ £¬The current column has no content!

You can view other columns or return Home

¡¾ÍøÕ¾µØÍ¼¡¿