UMR866, INSERM, Dijon, France.
Br J Pharmacol. 2013 Aug;169(8):1723-44. doi: 10.1111/bph.12238.
Anti-tumour therapies based on the use pro-apoptotic receptor agonists, including TNF-related apoptosis-inducing ligand (TRAIL) or monoclonal antibodies targeting TRAIL-R1 or TRAIL-R2, have been disappointing so far, despite clear evidence of clinical activity and lack of adverse events for the vast majority of these compounds, whether combined or not with conventional or targeted anti-cancer therapies. This brief review aims at discussing the possible reasons for the lack of apparent success of these therapeutic approaches and at providing hints in order to rationally design optimal protocols based on our current understanding of TRAIL signalling regulation or resistance for future clinical trials.
This article is part of a themed section on Emerging Therapeutic Aspects in Oncology. To view the other articles in this section visit http://dx.doi.org/10.1111/bph.2013.169.issue-8.
基于使用促凋亡受体激动剂的抗肿瘤疗法,包括 TNF 相关凋亡诱导配体(TRAIL)或针对 TRAIL-R1 或 TRAIL-R2 的单克隆抗体,尽管这些化合物绝大多数都有明确的临床活性和无不良事件的证据,无论是联合还是不联合常规或靶向抗癌疗法,迄今为止都令人失望。这篇简短的综述旨在讨论这些治疗方法缺乏明显成功的可能原因,并提供一些提示,以便根据我们目前对 TRAIL 信号转导调节或耐药性的理解,为未来的临床试验设计最佳方案。
本文是肿瘤学新兴治疗方面专题的一部分。要查看本部分中的其他文章,请访问 http://dx.doi.org/10.1111/bph.2013.169.issue-8。