Bár a sebészi reszekció, a platina-alapú kemoterápiás kombinációk és a sugárterápia javítottak a túlélési eredményeken, a nem kissejtes tüdőrák (NSCLC) túlélésének növekedési görbéje plató fázisához érkezett. Az új terápiás lehetőségek közé tartoznak a molekuláris célzott terápiák, ezeken belül a tumorok érhálózatára ható szerek. Jelenleg a bevacizumab – mely egy a vaszkuláris endotheliális növekedési faktor (VEGF) elleni rekombináns, monoklonális antitest – a klinikai fejlesztések legelőrehaladottabb stádiumban lévő gyógyszere. Ugyanakkor más célzott érellenes szerek is – beleértve a VDA-kat (vascular disrupting agents) és különféle kis molekulájú tirozinkináz-inhibitorokat – reménykeltők voltak a preklinikai és klinikai vizsgálatokban. Jelen közleményünkben áttekintjük az NSCLC-ben önmagukban vagy kemoterápiával kombináltan alkalmazható antivaszkuláris terápiás stratégiákat.
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