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当代肿瘤药物靶点

Editor-in-Chief

ISSN (Print): 1568-0096
ISSN (Online): 1873-5576

Review Article

在三阴性乳腺癌中使用新型联合疗法靶向不同途径

卷 20, 期 8, 2020

页: [586 - 602] 页: 17

弟呕挨: 10.2174/1570163817666200518081955

价格: $65

摘要

三阴性乳腺癌(TNBC)是乳腺癌中最具侵袭性的亚型之一,占病例的15-20%,其定义为缺乏激素受体,即雌激素受体(ER),孕激素受体(PR)和人表皮生长受体2(HER2)的表达。 由于缺乏分子靶向治疗的标志物(ER,PR和HER-2 / Neu),TNBC的治疗比其他亚型乳腺癌更具挑战性,常规化疗药物仍然是其治疗方案的主要手段 。 尽管TNBC比其他亚型更具化学反应性,但不幸的是,最初对化学疗法的良好反应最终变成了难治性耐药。 由于肿瘤细胞固有的遗传不稳定性来发展内在的和获得性的耐药性,因此使用单一疗法来治疗癌症,尤其是像TNBC这样的高级别肿瘤,几乎毫无价值。 因此,两种或多种具有不同作用机理的药物的混合物更为有效,可以成功地控制该疾病。 此外,联合治疗在每种单一药物的剂量较低时显示出更多或至少相同的效果,并降低了化学抗药性的可能性。 在本文中,我们阐明了针对PARP,EGFR,PI3K途径,AR和wnt信号传导,HDAC,MEK途径的新型组合方法,可有效治疗TNBC等高级别肿瘤并降低耐药性发作。

关键词: 乳腺癌,TNBC,耐药性,联合疗法,PARPi,Wnt /β-catenin,Hsp90。

图形摘要

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