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癌症中的多层面靶向治疗:近期的细胞死亡相关因素与常见的致癌基因嫌疑人相遇。

Multifaceted targeting in cancer: the recent cell death players meet the usual oncogene suspects.

作者信息

Drosopoulos Konstantinos, Pintzas Alexander

机构信息

Laboratory of Signal Mediated Gene Expression, Institute of Biological Research and Biotechnology, National Hellenic Research Foundation, Athens, Greece.

出版信息

Expert Opin Ther Targets. 2007 May;11(5):641-59. doi: 10.1517/14728222.11.5.641.

Abstract

Recent complicated advances towards the blueprinting of the altered molecular networks that lie behind cancer development have paved the way for targeted therapy in cancer. This directed a significant part of the research community to the development of specialized targeted agents, many of which are already available or in clinical trials. The prospect of patient-tailored therapeutic strategies, although very close to becoming a reality also raises the level of complexity of the therapeutic approach. This review summarizes the functions, in vivo expression patterns and aberrations of factors presently targeted or representing potential targets by therapeutic agents, focusing on those implicated in death receptor-induced apoptosis. The authors overview the regulation of these factors and death receptor-induced apoptosis by classical oncogenes (e.g., RAS, MYC, HER2) and their effectors/regulators, most of which are also being targeted. In addition, the importance of orthologic systemic approaches in future patient-tailored therapies are discussed.

摘要

近年来,在描绘癌症发展背后分子网络改变方面取得的复杂进展为癌症的靶向治疗铺平了道路。这使得很大一部分研究团体致力于开发专门的靶向药物,其中许多药物已经上市或正在进行临床试验。尽管患者定制治疗策略的前景已非常接近成为现实,但这也提高了治疗方法的复杂程度。本综述总结了目前被治疗药物靶向或代表潜在靶点的因子的功能、体内表达模式和异常情况,重点关注那些与死亡受体诱导的细胞凋亡相关的因子。作者概述了这些因子以及经典癌基因(如RAS、MYC、HER2)及其效应器/调节因子对死亡受体诱导的细胞凋亡的调节作用,其中大多数也正被作为靶点。此外,还讨论了在未来患者定制治疗中采用正交系统方法的重要性。

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