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胰腺癌的转化研究。“2011年美国临床肿瘤学会胃肠道癌症研讨会”亮点。美国加利福尼亚州旧金山。2011年1月20日至22日。

Translational research in pancreatic cancer. Highlights from the "2011 ASCO Gastrointestinal Cancers Symposium". San Francisco, CA, USA. January 20-22, 2011.

作者信息

Strimpakos Alexios S, Syrigos Konstantinos N, Saif Muhammad Wasif

机构信息

Oncology Unit, Third Department of Medicine, University of Athens, Sotiria General Hospital. Athens, Greece.

出版信息

JOP. 2011 Mar 9;12(2):120-2.

Abstract

The high mortality rate of pancreatic cancer places this uncommon malignancy quite high as a cause of cancer related deaths. Compared to other solid tumors, there is a lag in the development of new effective drugs and the actual clinical benefit remains poor over the last decade or so. The lack of therapeutic options necessitates the invention of the important molecules playing role in pancreatic carcinogenesis and the development of specific targeted therapies. Treatment advances have to be proven first in the bench before applying them at the bedside, thus why translational research is so needed. At the 2011 American Society of Clinical Oncology (ASCO) Gastrointestinal Cancers Symposium, preclinical evidence was presented regarding the efficacy of C4 compound against focal adhesion kinase (FAK) (Abstract #214), the role of the cyclooxygenase-2 (COX-2) inhibitor apricoxib in enhancing the efficacy of gemcitabine and erlotinib (Abstract #227) and the role of curcumin and ABT-888 (a poly-ADP ribose polymerase (PARP) inhibitor) as potent radiosensitizers (Abstracts #222 and #203). Interestingly, the invention of a novel monoclonal antibody (ensituximab) against the mucin epitope NPC-1C in pancreatic and colon cancer cell lines exhibited notable antibody-dependent cellular cytotoxicity (Abstract #235). Finally, enhanced selective targeting of pancreatic tumors was achieved by combining antibody-drug conjugates (ADC) with radioimmunotherapy (Abstract #206).

摘要

胰腺癌的高死亡率使其作为癌症相关死亡原因的排名相当靠前。与其他实体瘤相比,新型有效药物的研发滞后,在过去十年左右的时间里实际临床获益仍然不佳。治疗选择的匮乏使得有必要发现参与胰腺癌发生发展的重要分子并开发特异性靶向治疗。治疗进展必须先在实验室得到验证,然后才能应用于临床,这就是为什么转化研究如此必要。在2011年美国临床肿瘤学会(ASCO)胃肠道癌症研讨会上,展示了关于C4化合物对焦黏附激酶(FAK)的疗效的临床前证据(摘要#214)、环氧合酶-2(COX-2)抑制剂阿瑞昔布在增强吉西他滨和厄洛替尼疗效方面的作用(摘要#227)以及姜黄素和ABT-888(一种聚ADP核糖聚合酶(PARP)抑制剂)作为强效放射增敏剂的作用(摘要#222和#203)。有趣的是,一种针对胰腺癌和结肠癌细胞系中黏蛋白表位NPC-1C的新型单克隆抗体(ensituximab)的发明表现出显著的抗体依赖性细胞毒性(摘要#235)。最后,通过将抗体药物偶联物(ADC)与放射免疫疗法相结合,实现了对胰腺肿瘤更强的选择性靶向(摘要#206)。

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