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晚期尿路上皮癌的个性化医疗:何时治疗、如何治疗以及治疗对象

Personalized medicine in advanced urothelial cancer: when to treat, how to treat and who to treat.

作者信息

Ehdaie Behfar, Smith Steven C, Theodorescu Dan

机构信息

Department of Urology;

出版信息

Can Urol Assoc J. 2009 Dec;3(6 Suppl 4):S232-6. doi: 10.5489/cuaj.1204.

DOI:10.5489/cuaj.1204
PMID:20019992
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2792449/
Abstract

The past decade has provided an improved understanding of the molecular mechanism of bladder cancer by defining distinct pathways in tumorigenesis and progression. Advances in technologies, such as high-throughput transcript profiling, microarrays and proteomics, offer a systematic approach to identifying targets for bladder cancer diagnostics and drug discovery. This review presents a select outline of the advances in the development of bio-markers and targets for patient prognosis and therapy selection. This paper describes a representative cohort of recent studies that have the potential to significantly impact the management of muscle invasive and metastatic urothelial carcinoma of the bladder. Space constraints do not permit this review to be comprehensive and we apologize to the authors whose work we do not cite.

摘要

在过去十年中,通过明确肿瘤发生和进展中的不同途径,人们对膀胱癌的分子机制有了更深入的了解。诸如高通量转录谱分析、微阵列和蛋白质组学等技术的进步,为识别膀胱癌诊断和药物研发的靶点提供了系统方法。本综述概述了生物标志物和靶点开发方面的进展,用于患者预后评估和治疗选择。本文描述了一组具有代表性的近期研究,这些研究有可能对肌肉浸润性和转移性膀胱尿路上皮癌的管理产生重大影响。由于篇幅限制,本综述无法做到全面涵盖,对于未引用其研究成果的作者,我们深表歉意。

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本文引用的文献

1
Current status of prognostic profiling in breast cancer.乳腺癌预后分析的现状
Oncologist. 2008 Apr;13(4):350-60. doi: 10.1634/theoncologist.2007-0216.
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Cancer statistics, 2008.2008年癌症统计数据。
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Multiple biomarkers improve prediction of bladder cancer recurrence and mortality in patients undergoing cystectomy.多种生物标志物可改善膀胱切除术患者膀胱癌复发和死亡率的预测。
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A strategy for predicting the chemosensitivity of human cancers and its application to drug discovery.一种预测人类癌症化学敏感性的策略及其在药物发现中的应用。
Proc Natl Acad Sci U S A. 2007 Aug 7;104(32):13086-91. doi: 10.1073/pnas.0610292104. Epub 2007 Jul 31.
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Gene expression signatures predict outcome in non-muscle-invasive bladder carcinoma: a multicenter validation study.基因表达特征可预测非肌层浸润性膀胱癌的预后:一项多中心验证研究。
Clin Cancer Res. 2007 Jun 15;13(12):3545-51. doi: 10.1158/1078-0432.CCR-06-2940.
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Survivin expression is associated with bladder cancer presence, stage, progression, and mortality.生存素的表达与膀胱癌的存在、分期、进展及死亡率相关。
Cancer. 2007 Mar 15;109(6):1106-13. doi: 10.1002/cncr.22521.
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Prediction of drug combination chemosensitivity in human bladder cancer.人膀胱癌中药物联合化疗敏感性的预测
Mol Cancer Ther. 2007 Feb;6(2):578-86. doi: 10.1158/1535-7163.MCT-06-0497.
10
Use of combined apoptosis biomarkers for prediction of bladder cancer recurrence and mortality after radical cystectomy.联合凋亡生物标志物用于预测根治性膀胱切除术后膀胱癌的复发和死亡率
Lancet Oncol. 2007 Feb;8(2):128-36. doi: 10.1016/S1470-2045(07)70002-5.