摘要
转移性去势抵抗性前列腺癌(mCRPC)目前无法治愈,它也是一个未饱和的新型医疗领域。由于对前列腺癌细胞和骨微环境之间的关联的认识的加深,新的靶点和治疗方法已经出现。许多信号系统,包括RANKL/RANK/OPG, IGF-I, FGF和Wnt:DKK-1信号途径可以用于针对性地抑制肿瘤的生长。抗存活因子疗法可以通过以作为“生存因素”的生物分子为靶点,在骨微环境中提高抗肿瘤疗效标准。新型药物也可用于动员宿主免疫系统攻击前列腺癌细胞。这些治疗方法的临床试验在mCRPC患者亚群中产生客观的临床反应。本文对用于以骨微环境为靶点治疗mCRPC的新方法进行了总结。
关键词: 骨转移,去势抵抗前列腺癌,肿瘤微环境
图形摘要
Current Drug Targets
Title:Targeting the Bone Microenvironment in Metastatic Castration-Resistant Prostate Cancer
Volume: 17 Issue: 3
Author(s): Pavlos Msaouel, Jose Nahun Galeas, Alejandro Recio Boiles, Ramiro Rancier Ruiz1 and Michael Koutsilieri
Affiliation:
关键词: 骨转移,去势抵抗前列腺癌,肿瘤微环境
摘要: Metastatic castration-resistant prostate cancer (mCRPC) is universally incurable and represents an area of substantial unmet medical need. Novel targets and therapeutic strategies have emerged based on an improved understanding of the crosstalk between prostate cancer cells and the bone microenvironment. A wide variety of signaling systems including the RANKL/RANK/OPG, IGF-I, FGF and Wnt:DKK-1 pathways can be targeted to suppress tumor growth and treatment resistance. Antisurvival factor therapy can increase the efficacy of standard antineoplastic regimens by targeting biologic molecules acting as “survival factors” within the bone microenvironment. Novel agents can also be used to mobilize the host immune system to attack prostate cancer cells. Clinical testing of these therapeutic approaches has produced encouraging objective clinical responses in subsets of patients with mCRPC. The present review summarizes data regarding the emerging strategies used to target the bone microenvironment in mCRPC.
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Pavlos Msaouel, Jose Nahun Galeas, Alejandro Recio Boiles, Ramiro Rancier Ruiz1 and Michael Koutsilieri , Targeting the Bone Microenvironment in Metastatic Castration-Resistant Prostate Cancer, Current Drug Targets 2016; 17 (3) . https://dx.doi.org/10.2174/1389450116666150420143932
DOI https://dx.doi.org/10.2174/1389450116666150420143932 |
Print ISSN 1389-4501 |
Publisher Name Bentham Science Publisher |
Online ISSN 1873-5592 |
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