Nakata Taisuke, Ishida Hiroyuki, Shiotsu Yukimasa
Strategic Product Planning Department, Fuji Research Park, Kyowa Hakko Kirin Co. LTD.
Nihon Rinsho. 2010 Jun;68(6):1073-8.
More than 60 percents of breast cancers occur in post menopausal women and most of their initial stages are hormone dependent. For the treatment of estrogen dependent breast tumors, mainly two treatment tools are available, one is selective estrogen receptor modulator (SERM), and the other is aromatase inhibitor (AI). Although these drugs are clinically valuable, the existence of resistant tumors againt these two treatments is one of the most serious matters. The latest studies clarify that to inhibit the local formation of estrogen is more important than to decrease the estrogen dose in plasma. Steroid sulfatase (STS) is mainly expressed in local breast carcinoma tissues and is one of the most promising targets to inhibit the local formation of estrogens.
超过60%的乳腺癌发生在绝经后女性中,且其大多数早期阶段是激素依赖性的。对于雌激素依赖性乳腺肿瘤的治疗,主要有两种治疗手段,一种是选择性雌激素受体调节剂(SERM),另一种是芳香化酶抑制剂(AI)。尽管这些药物具有临床价值,但针对这两种治疗存在耐药肿瘤是最严重的问题之一。最新研究表明,抑制雌激素的局部生成比降低血浆中雌激素剂量更为重要。类固醇硫酸酯酶(STS)主要在局部乳腺癌组织中表达,是抑制雌激素局部生成最有前景的靶点之一。