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酪氨酸激酶抑制剂在HER2阳性乳腺癌中应用的可视化分析                                                                  Δ



                *
          邹 婧 ,楚尧娟,杜秋争,岳鹤影,王小宝,杜书章(郑州大学第一附属医院药学部,郑州 450052)
                                                       #
          中图分类号  R979.1;R737.9      文献标志码  A      文章编号  1001-0408(2023)24-3036-06
          DOI  10.6039/j.issn.1001-0408.2023.24.14


          摘   要  目的  分析酪氨酸激酶抑制剂(TKIs)治疗人表皮生长因子受体 2(HER2)阳性乳腺癌的研究现状、热点和发展趋势。
          方法  在Web of Science核心合集数据库中检索TKIs治疗HER2阳性乳腺癌的相关文献,使用CiteSpace 6.1.R3软件对发文作者、
          国家/地区、机构、学科领域、期刊、关键词进行可视化分析。结果  共纳入732篇文献,发文量呈逐年上升趋势,以美国发文最多(中
          心度0.10),我国发文量排第2位(中心度0.05)。发文量和被引频次最多的作者分别是澳大利亚圣文森特大学医院的Crown和美
          国加州大学洛杉矶分校的Slamon;发文量最多的机构是美国得克萨斯大学安德森癌症中心,最多的期刊是美国Journal of Clinical
          Oncology;研究热点主要集中在HER2阳性乳腺癌治疗药物、TKIs作用受体、TKIs作用机制、HER2阳性乳腺癌脑转移、TKIs临床
          研究 5 个方面;前沿领域和发展趋势主要为 TKIs 与其他药物或治疗手段联用以增强靶向性并降低毒副作用。结论  TKIs 治疗
          HER2阳性乳腺癌的研究受到国内外学者的重视。我国学者和研究团队未来需要加强合作交流,可从TKIs单用及联合用药治疗
          HER2阳性乳腺癌的疗效及安全性方面加强与其他国家的合作。
          关键词  酪氨酸激酶抑制剂;人表皮生长因子受体-2阳性乳腺癌;可视化分析

          Visual analysis of tyrosine kinase inhibitors in HER2 positive breast cancer
          ZOU Jing,CHU Yaojuan,DU Qiuzheng,YUE Heying,WANG Xiaobao,DU Shuzhang(Dept.  of  Pharmacy,  the
          First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China)


          ABSTRACT    OBJECTIVE To analyze the research status, hotspot and development trend of tyrosine kinase inhibitors (TKIs) in
          the  treatment  of  human  epidermal  growth  factor  receptor  2 (HER2)  positive  breast  cancer.  METHODS  The  literature  related  to
          TKIs in the treatment of HER2 positive breast cancer were searched from the Web of Science core collection database; the author,
          country/region, institution, subject field, journal and keywords was visualized by CiteSpace 6.1.R3 software. RESULTS A total of
          732 pieces of literature were included, and the number of literature published showed an increasing trend year by year. The number
          of  literature  published  in  the  United  States  was  the  largest (center  degree  0.10),  and  the  number  of  literature  published  in  China
          ranked  second (center  degree  0.05).  The  most  published  and  cited  authors  were  Crown  from  St.  Vincent’s  University  Hospital  in
          Australia  and  Slamon  from  University  of  California,  Los Angeles  in  the  United  States;  the  institution  with  the  highest  number  of
          literature  was  the  University  of Texas  MD Anderson  Cancer  Center,  and  the  journal  with  the  highest  number  of  literature  was  the
          Journal  of  Clinical  Oncology.  The  research  mainly  focused  on  five  aspects:  HER2  positive  breast  cancer  treatment  drugs,  TKIs
          receptor, TKIs mechanism of action, HER2 positive breast cancer brain metastasis, and TKIs clinical trials. The main frontier areas
          and  development  trends  were  the  combination  of  TKIs  with  other  drugs  or  therapies  to  enhance  targeting  and  reduce  toxic  side
          effects. CONCLUSIONS The study of TKIs in the treatment of HER2 positive breast cancer has attracted the attention of scholars
          at  home  and  abroad.  Chinese  scholars  and  research  teams  need  to  strengthen  cooperation  and  communication  in  the  future,  and
          cooperation with other countries should be strengthened in terms of the efficacy and safety of TKIs alone and combined with other
          drugs in the treatment of HER2 positive breast cancer.
          KEYWORDS     tyrosine kinase inhibitors; human epidermal growth factor receptor-2 positive breast cancer; visual analysis


                                                                    [1]
              乳腺癌为女性常见的恶性肿瘤,目前已取代肺癌,                          长趋势 。同年相关统计显示,我国乳腺癌发病率居全
          成为全球发病率最高的癌症。2020 年全球最新癌症负                          国女性恶性肿瘤首位,病死率居全国女性恶性肿瘤的第
          担数据显示,全球乳腺癌的发病例数和死亡例数分别占                            4位 。此外,我国乳腺癌发病率的逐年增长速度超过了
                                                                 [2]
          女性新诊断恶性肿瘤的 24.5% 和 15.5%,且均呈逐年增                     全球平均水平,对女性的身心健康造成了极大的危害。

              Δ 基金项目 河南省重点研发与推广专项(No.232102311200)                乳腺癌为高度异质性疾病,不同亚型的乳腺癌具有
             *第一作者 药师,硕士研究生。研究方向:临床药理学。E-mail:                不同的临床特征及治疗手段。其中,人表皮生长因子受
          zoujing309@163.com
                                                              体 2(human epidermal growth factor receptor 2,HER2)阳
              # 通信作者 主任药师,硕士生导师。研究方向:循证医学、药物经
          济学。E-mail:dushuzhang911@163.com                     性乳腺癌例数占乳腺癌确诊总人数的 15%~30%,具有


          · 3036 ·    China Pharmacy  2023 Vol. 34  No. 24                            中国药房  2023年第34卷第24期
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