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针对自身免疫性疾病中的 Notch 信号通路。

Targeting the Notch signaling pathway in autoimmune diseases.

机构信息

Shandong University, Qilu Hospital, Department of Hematology, 107 WenhuaXi Road, Jinan 250012, People's Republic of China.

出版信息

Expert Opin Ther Targets. 2010 May;14(5):553-65. doi: 10.1517/14728221003752750.

Abstract

IMPORTANCE OF THE FIELD

The Notch signaling pathway regulates a variety of processes and has been linked to diverse effects. Aberrant Notch function is important in several disorders. Pre-clinical studies have suggested that inhibition of Notch is an attractive approach to treat hematologic and solid malignancies. Many patients with refractory autoimmune diseases respond poorly to therapy and have significant morbidity and the treatment is highly toxic, so more effective therapies for autoimmune diseases are being examined.

AREAS COVERED IN THIS REVIEW

The role of the Notch pathway and therapeutic strategies targeting it in many illnesses, especially autoimmune diseases.

WHAT THE READER WILL GAIN

The Notch pathway has unique and attractive advantages for targeting. Targeting it has already been trialed in many experiments, which may show better efficacy and fewer side effects compared with classical drugs for the treatment. Targeting Notch might provide etiological rather than symptomatic treatment.

TAKE HOME MESSAGE

Various methods targeting the Notch pathway have been under investigation. Rational targeting of the Notch signaling pathway in cancer and some autoimmune diseases has proven to be successful. Classical drugs for the treatment of autoimmune diseases are inefficient and toxic to some extent, and targeting the Notch pathway is a promising therapeutic concept. However, there are still many questions about targeting Notch in autoimmune diseases, and further investigation will be needed.

摘要

重要性领域

Notch 信号通路调节多种过程,并与多种效应相关。异常的 Notch 功能在几种疾病中很重要。临床前研究表明,抑制 Notch 是治疗血液系统和实体恶性肿瘤的一种有吸引力的方法。许多患有难治性自身免疫性疾病的患者对治疗反应不佳,且发病率高,治疗毒性大,因此正在研究更有效的自身免疫性疾病治疗方法。

本综述涵盖内容

Notch 通路及其在许多疾病中的治疗策略,尤其是自身免疫性疾病中的作用。

读者将获得什么

Notch 通路具有独特且有吸引力的靶向优势。针对该通路的靶向治疗已经在许多实验中进行了尝试,与治疗自身免疫性疾病的经典药物相比,它可能显示出更好的疗效和更少的副作用。靶向 Notch 可能提供病因治疗而不是对症治疗。

重要信息

目前正在研究各种针对 Notch 通路的方法。在癌症和一些自身免疫性疾病中靶向 Notch 信号通路已被证明是成功的。治疗自身免疫性疾病的经典药物在某种程度上效率低下且具有毒性,而靶向 Notch 通路是一种很有前途的治疗概念。然而,针对自身免疫性疾病靶向 Notch 仍存在许多问题,需要进一步研究。

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