摘要
尽管在癌症发病机制、分子生物学、诊断、治疗和预防等方面的研究取得了重大进展,但在世界范围内,其发病率和死亡率仍居高不下。癌细胞对抗癌药物的耐药性仍然是当今肿瘤学的一个重大问题。此外,一个重要的挑战是抗癌药物不能选择性靶向肿瘤细胞,从而保留健康细胞。阿片类生长因子(OGF),化学名称为MET -脑啡肽,是一种新的潜在的有效和安全治疗选择。它是一种内源性五肽(Tyr- Gly - Gly - Phee - Met),具有抗肿瘤、镇痛和增强免疫功能。临床试验表明,单独使用OGF治疗,以及与标准化疗相结合,是一种安全、无毒的抗癌药物,可以缩小肿瘤大小。本文就OGF及其类似物的构效关系作一综述。我们还强调了具有镇痛、免疫调节活性和穿透血脑屏障能力的OGF衍生物,并可能作为安全药物用于提高癌症患者的化疗疗效和改善生活质量。这些综述表明,蛋氨酸脑啡肽及其类似物是开发新型、无毒、具有镇痛活性的抗癌药物的重要候选药物。我们需要更多的临床前和临床研究来探索这些机会。
关键词: 阿片类生长因子,脑啡肽,类似物,抗癌治疗,多功能化合物,靶向治疗
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