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米非司酮作为孕激素受体拮抗剂对多种晚期癌症患者的姑息治疗的疗效。

Efficacy of the progesterone receptor antagonist mifepristone for palliative therapy of patients with a variety of advanced cancer types.

机构信息

The University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School at Camden, Cooper Hospital/University Medical Center, Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Camden, New Jersey, USA.

出版信息

Anticancer Res. 2010 Feb;30(2):623-8.

PMID:20332480
Abstract

BACKGROUND

Mifepristone has been demonstrated to improve longevity and quality of life in mice with spontaneous murine cancer without progesterone receptors and in human colon cancer. The present study evaluated the palliative effect of mifepristone in a variety of different types of human cancer.

PATIENTS AND METHODS

Mifepristone was given at 200 mg daily orally with permission from the Food and Drug Administration to people with widely metastatic human cancer no longer responsive to other chemotherapy regimens.

RESULTS

Improvement in pain and energy and/or length of life was found in thymic epithelial cell carcinoma, transitional cell carcinoma of the renal pelvis, leiomyosarcoma, pancreatic carcinoma, malignant fibrous histiocytoma and another case of adenocarcinoma of the colon.

CONCLUSION

Our data demonstrate a palliative role for the use of mifepristone in cancer therapy. Progesterone receptor antagonists should be given a therapeutic trial in larger controlled studies of various malignancies in humans.

摘要

背景

米非司酮已被证明可提高无孕激素受体的自发性鼠类癌症和人类结肠癌小鼠的寿命和生活质量。本研究评估了米非司酮在多种不同类型人类癌症中的姑息治疗效果。

患者和方法

经食品和药物管理局批准,给予 200 毫克米非司酮,每日口服,用于广泛转移性人类癌症且对其他化疗方案无反应的患者。

结果

在胸腺癌、肾盂移行细胞癌、平滑肌肉瘤、胰腺癌、恶性纤维组织细胞瘤和另 1 例结肠癌腺癌中发现疼痛、体力和/或寿命得到改善。

结论

我们的数据表明,米非司酮在癌症治疗中具有姑息作用。孕激素受体拮抗剂应在更大规模的人类各种恶性肿瘤的对照研究中进行治疗试验。

相似文献

1
Efficacy of the progesterone receptor antagonist mifepristone for palliative therapy of patients with a variety of advanced cancer types.米非司酮作为孕激素受体拮抗剂对多种晚期癌症患者的姑息治疗的疗效。
Anticancer Res. 2010 Feb;30(2):623-8.
2
Mifepristone may halt progression of extensively metastatic human adenocarcinoma of the colon - case report.米非司酮可能会阻止广泛转移的人类结肠腺癌进展——病例报告。
Anticancer Res. 2009 May;29(5):1611-3.
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Phase 2 trial of mifepristone (RU-486) in advanced or recurrent endometrioid adenocarcinoma or low-grade endometrial stromal sarcoma.米非司酮(RU-486)用于晚期或复发性子宫内膜样腺癌或低级别子宫内膜间质肉瘤的2期试验。
Cancer. 2009 May 1;115(9):1867-74. doi: 10.1002/cncr.24197.
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Mifepristone treatment improves length and quality of survival of mice with spontaneous leukemia.米非司酮治疗可改善自发性白血病小鼠的生存时长和生存质量。
Anticancer Res. 2009 Aug;29(8):2977-80.
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Progesterone receptor antagonist therapy has therapeutic potential even in cancer restricted to males as evidenced from murine testicular and prostate cancer studies.孕激素受体拮抗剂治疗具有治疗潜力,即使在局限于男性的癌症中也是如此,这从鼠睾丸和前列腺癌研究中得到了证明。
Anticancer Res. 2010 Dec;30(12):4921-3.
6
Mifepristone. Auxiliary therapeutic use in cancer and related disorders.米非司酮。在癌症及相关病症中的辅助治疗用途。
J Reprod Med. 1998 Jul;43(7):551-60.
7
Long-term High-quality Survival with Single-agent Mifepristone Treatment Despite Advanced Cancer.尽管患有晚期癌症,但使用米非司酮单药治疗仍可实现长期高质量生存。
Anticancer Res. 2016 Dec;36(12):6511-6513. doi: 10.21873/anticanres.11251.
8
Evidence that Mifepristone, a progesterone receptor antagonist, can cross the blood brain barrier and provide palliative benefits for glioblastoma multiforme grade IV.有证据表明,孕酮受体拮抗剂米非司酮可穿过血脑屏障,并为四级多形性胶质母细胞瘤提供姑息性益处。
Anticancer Res. 2014 May;34(5):2385-8.
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Mifepristone treatment improves length and quality of survival of mice with spontaneous lung cancer.米非司酮治疗可改善自发性肺癌小鼠的生存时间和质量。
Anticancer Res. 2010 Jan;30(1):119-22.
10
Support for the hypothesis that successful immunotherapy of various cancers can be achieved by inhibiting a progesterone associated immunomodulatory protein.支持以下假设:通过抑制一种与孕酮相关的免疫调节蛋白,可以实现对各种癌症的成功免疫治疗。
Med Hypotheses. 2009 Jan;72(1):87-90. doi: 10.1016/j.mehy.2008.05.042. Epub 2008 Oct 7.

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