Ryu Sunhyo, Youn Chakyung, Moon Ae Ran, Howland Amanda, Armstrong Cheryl A, Song Peter I
Department of Dermatology, University of Colorado Denver Medical School, Aurora, Colorado, USA.
Department of Premedical Sciences, Chosun University School of Medicine, Gwangju, Korea.
Chonnam Med J. 2017 Sep;53(3):173-177. doi: 10.4068/cmj.2017.53.3.173. Epub 2017 Sep 25.
Melanoma is one of the most aggressive cancers in the world and is responsible for the majority of skin cancer deaths. Recent advances in the field of immunotherapy using active, adoptive, and antigen-specific therapeutic approaches, have generated the expectation that these technologies have the potential to improve the treatment of advanced malignancies, including melanoma. Treatment options for metastatic melanoma patients have been dramatically improved by the FDA approval of new therapeutic agents including vemurafenib, dabrafenib, and sorafenib. These kinase inhibitors have the potential to work in tandem with MEK, PI3K/AKT, and mTOR to inhibit the activity of melanoma inducing BRAF mutations. This review summarizes the effects of the new therapeutic agents against melanoma and the underlying biology of these BRAF inhibitors.
黑色素瘤是世界上最具侵袭性的癌症之一,也是大多数皮肤癌死亡的原因。免疫疗法领域最近在使用主动、过继和抗原特异性治疗方法方面取得的进展,引发了人们对这些技术有可能改善包括黑色素瘤在内的晚期恶性肿瘤治疗的期望。美国食品药品监督管理局(FDA)批准了包括维莫非尼、达拉非尼和索拉非尼在内的新治疗药物,这极大地改善了转移性黑色素瘤患者的治疗选择。这些激酶抑制剂有可能与MEK、PI3K/AKT和mTOR协同作用,以抑制诱导黑色素瘤的BRAF突变的活性。本综述总结了新型治疗药物对黑色素瘤的影响以及这些BRAF抑制剂的潜在生物学机制。