González-Cao María, Rodón Jordi, Karachaliou Niki, Sánchez Jesús, Santarpia Mariacarmela, Viteri Santiago, Pilotto Sara, Teixidó Cristina, Riso Aldo, Rosell Rafael
1 Translational Cancer Research Unit, Instituto Oncológico Dr Rosell, Quirón Dexeus University Hospital, Barcelona, Spain ; 2 Vall D'Hebron Institute of Oncology and Universitat Autonoma de Barcelona, Barcelona, Spain ; 3 Immunology Department, CNICV, Madrid, Spain ; 4 Medical Oncology Unit, Human Pathology Department, University of Messina, Messina, Italy ; 5 Department of Medical Oncology, University of Verona, Azienda Ospedaliera Universitaria Integrata, Verona, Italy ; 6 Pangaea Biotech S.L, Barcelona, Spain ; 7 Cancer Biology and Precision Medicine Program, Catalan Institute of Oncology, Germans Trias i Pujol Health Sciences Institute and Hospital, Campus Can Ruti, Badalona, Barcelona, Spain ; 8 Fundación Molecular Oncology Research, Barcelona, Spain.
Ann Transl Med. 2015 Oct;3(18):266. doi: 10.3978/j.issn.2305-5839.2015.08.12.
Targeted therapy drugs are developed against specific molecular alterations on cancer cells. Because they are "targeted" to the tumor, these therapies are more effective and better tolerated than conventional therapies such as chemotherapy. In the last decade, great advances have been made in understanding of melanoma biology and identification of molecular mechanisms involved in malignant transformation of cells. The identification of oncogenic mutated kinases involved in this process provides an opportunity for development of new target therapies. The dependence of melanoma on BRAF-mutant kinase has provided an opportunity for development of mutation-specific inhibitors with high activity and excellent tolerance that are now being used in clinical practice. This marked a new era in the treatment of metastatic melanoma and much research is now ongoing to identify other "druggable" kinases and transduction signaling networking. It is expected that in the near future the spectrum of target drugs for melanoma treatment will increase. Herein, we review the most relevant potential novel drugs for melanoma treatment based on preclinical data and the results of early clinical trials.
靶向治疗药物是针对癌细胞上特定的分子改变而研发的。由于它们是“靶向”肿瘤的,这些疗法比化疗等传统疗法更有效且耐受性更好。在过去十年中,我们对黑色素瘤生物学的理解以及对细胞恶性转化所涉及分子机制的识别取得了巨大进展。对参与这一过程的致癌突变激酶的识别为开发新的靶向疗法提供了契机。黑色素瘤对BRAF突变激酶的依赖性为开发具有高活性和出色耐受性的突变特异性抑制剂提供了机会,这些抑制剂目前正在临床实践中使用。这标志着转移性黑色素瘤治疗的新时代,目前正在进行大量研究以识别其他“可药物化”的激酶和转导信号网络。预计在不久的将来,用于黑色素瘤治疗的靶向药物谱将会增加。在此,我们基于临床前数据和早期临床试验结果,综述了用于黑色素瘤治疗的最相关潜在新型药物。