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小儿脑肿瘤的分子生物学及其对新型疗法的影响。

Molecular biology of pediatric brain tumors and impact on novel therapies.

作者信息

Hoffman Lindsey M, Salloum Ralph, Fouladi Maryam

机构信息

Cancer and Blood Diseases Institute, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH, USA,

出版信息

Curr Neurol Neurosci Rep. 2015 Apr;15(4):10. doi: 10.1007/s11910-015-0532-6.

DOI:10.1007/s11910-015-0532-6
PMID:25690927
Abstract

Brain tumors are the leading cause of cancer-related death in children. For the past several decades, therapeutic strategies have centered on cytotoxic chemotherapy and radiation therapy due, in part, to limited understanding of genetic events that underlie tumor initiation and maintenance. Significant improvement in high-throughput genomic methods, such as next-generation sequencing, methylation array, and copy number array, in recent years has propelled the knowledge base from which novel therapies are derived. Translation of recent genomic findings into more effective therapies remains the most formidable challenge in improving the outcome for children with brain tumors.

摘要

脑肿瘤是儿童癌症相关死亡的主要原因。在过去几十年里,治疗策略主要集中在细胞毒性化疗和放射治疗上,部分原因是对肿瘤发生和维持的遗传事件了解有限。近年来,高通量基因组方法,如下一代测序、甲基化阵列和拷贝数阵列,取得了显著进展,推动了新疗法的知识基础。将最近的基因组研究结果转化为更有效的疗法,仍然是改善脑肿瘤患儿治疗效果最艰巨的挑战。

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Medulloblastoma-translating discoveries from the bench to the bedside.髓母细胞瘤——将实验室的发现转化为临床实践。
Nat Rev Clin Oncol. 2014 Dec;11(12):714-22. doi: 10.1038/nrclinonc.2014.181. Epub 2014 Oct 28.
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Pediatric medulloblastoma - update on molecular classification driving targeted therapies.儿童髓母细胞瘤 - 分子分类指导靶向治疗的最新进展。
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SMARCA4-mutated atypical teratoid/rhabdoid tumors are associated with inherited germline alterations and poor prognosis.
SMARCA4突变的非典型畸胎样/横纹肌样肿瘤与遗传性种系改变及预后不良相关。
Acta Neuropathol. 2014 Sep;128(3):453-6. doi: 10.1007/s00401-014-1323-x. Epub 2014 Jul 25.
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Epigenetic targeting of Hedgehog pathway transcriptional output through BET bromodomain inhibition.通过 BET 溴结构域抑制靶向 Hedgehog 通路转录输出的表观遗传调控。
Nat Med. 2014 Jul;20(7):732-40. doi: 10.1038/nm.3613. Epub 2014 Jun 29.
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Genomic analysis of diffuse intrinsic pontine gliomas identifies three molecular subgroups and recurrent activating ACVR1 mutations.弥漫性内生脑桥胶质瘤的基因组分析确定了三个分子亚群和反复出现的激活型 ACVR1 突变。
Nat Genet. 2014 May;46(5):451-6. doi: 10.1038/ng.2936. Epub 2014 Apr 6.
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Recurrent activating ACVR1 mutations in diffuse intrinsic pontine glioma.弥漫性内生脑桥胶质瘤中的反复激活的 ACVR1 突变。
Nat Genet. 2014 May;46(5):457-461. doi: 10.1038/ng.2925. Epub 2014 Apr 6.
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The genomic landscape of diffuse intrinsic pontine glioma and pediatric non-brainstem high-grade glioma.弥漫性内生脑桥胶质瘤和儿童非脑干高级别胶质瘤的基因组图谱。
Nat Genet. 2014 May;46(5):444-450. doi: 10.1038/ng.2938. Epub 2014 Apr 6.
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Recurrent somatic mutations in ACVR1 in pediatric midline high-grade astrocytoma.小儿中线高级别星形细胞瘤中 ACVR1 的反复体细胞突变。
Nat Genet. 2014 May;46(5):462-6. doi: 10.1038/ng.2950. Epub 2014 Apr 6.
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A phase I trial of MK-2206 in children with refractory malignancies: a Children's Oncology Group study.MK-2206 治疗耐药性恶性肿瘤儿童的 I 期临床试验:一项儿童肿瘤学组的研究。
Pediatr Blood Cancer. 2014 Jul;61(7):1246-51. doi: 10.1002/pbc.25023. Epub 2014 Mar 24.
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Cancer Cell. 2014 Mar 17;25(3):393-405. doi: 10.1016/j.ccr.2014.02.004.