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针对转移性去势抵抗性前列腺癌中的 Met 和 VEGFR 轴:“游戏结束”?

Targeting Met and VEGFR Axis in Metastatic Castration-Resistant Prostate Cancer: 'Game Over'?

机构信息

Medical Oncology, Azienda Ospedaliera Universitaria Integrata (AOUI), University of Verona, Piazzale L.A. Scuro 10, 37134, Verona, Italy.

Department of Pathology and Diagnostic, Azienda Ospedaliera Universitaria Integrata (AOUI), University of Verona, Verona, Italy.

出版信息

Target Oncol. 2016 Aug;11(4):431-46. doi: 10.1007/s11523-015-0412-7.

Abstract

Despite recent advances that have been made in the therapeutic landscape of metastatic castration-resistant prostate cancer (mCRPC), effective management of bone metastases remains a key goal not yet reached. The receptor tyrosine kinase MET and the vascular endothelial growth factor receptor (VEGFR) seem to play an important role in prostate cancer progression and pathological bone turnover, representing potential targets for improving clinical outcomes in mCRPC. Studies evaluating agents that target one or both these pathways have demonstrated modest activity but no improvement in overall survival. Nevertheless, this therapeutic strategy seems to still be a promising and engaging area of prostate cancer research and the interest in better understanding the MET/VEGFR axis and the mechanism of action of these inhibitors is growing. This review describes the rationale for targeting MET and VEGFR pathway in mCRPC and provides the clinical data available to date and an update on ongoing trials.

摘要

尽管在转移性去势抵抗性前列腺癌(mCRPC)的治疗领域取得了一些进展,但有效管理骨转移仍然是一个尚未实现的关键目标。受体酪氨酸激酶 MET 和血管内皮生长因子受体(VEGFR)似乎在前列腺癌的进展和病理性骨转换中发挥重要作用,代表了改善 mCRPC 临床结局的潜在靶点。评估靶向这些途径之一或两者的药物的研究显示出适度的活性,但对总生存期没有改善。尽管如此,这种治疗策略似乎仍然是前列腺癌研究中一个有前途和引人入胜的领域,人们对更好地了解 MET/VEGFR 轴和这些抑制剂的作用机制的兴趣日益浓厚。这篇综述描述了在 mCRPC 中靶向 MET 和 VEGFR 途径的基本原理,并提供了迄今为止可用的临床数据和正在进行的试验的最新信息。

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