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帕唑帕尼在肿瘤血管生成和癌症治疗中的作用:综述。

The role of pazopanib on tumour angiogenesis and in the management of cancers: A review.

机构信息

Department of Life Sciences, School of Pharmacy, International Medical University, Kuala Lumpur, 57000, Malaysia.

Department of Life Sciences, School of Pharmacy, International Medical University, Kuala Lumpur, 57000, Malaysia; School of Pharmaceutical Sciences, Jaipur National University, Jagatpura, Jaipur, 302017, India.

出版信息

Biomed Pharmacother. 2017 Dec;96:768-781. doi: 10.1016/j.biopha.2017.10.058. Epub 2017 Nov 6.

Abstract

Pazopanib is a relatively new compound to be introduced into the chemotherapy field. It is thought to have decent anti-angiogenic properties, which gives an additional hope for the treatment of certain types of cancers. A systematic review solely discussing about pazopanib and its anti-angiogenic effect is yet to be published to date, despite several relevant clinical trials being conducted over the recent years. In this review, we aim to investigate the mechanism of pazopanib's anti-angiogenic effect and its effectiveness in treating several cancers. We have included, in this study, findings from electronically searchable data from randomized clinical trials, clinical studies, cohort studies and other relevant articles. A total of 352 studies were included in this review. From the studies, the effect of pazopanib in various cancers or models was observed and recorded. Study quality is indefinite, with a few decent quality articles. The most elaborately studied cancers include renal cell carcinoma, solid tumors, advanced solid tumors, soft tissue sarcoma, breast cancer and gynecological cancers. In addition, several less commonly studied cancers are included in the studies as well. Pazopanib had demonstrated its anti-angiogenic effect based on favorable results observed in cancers, which are caused by angiogenesis-related mechanisms, such as renal cell carcinoma, solid tumors, advanced solid tumors and soft tissue sarcoma. This review was conducted to study, analyze and review the anti-angiogenic properties of pazopanib in various cancers. The results obtained can provide a decent reference when considering treatment options for angiogenesis-related malignancies. Furthermore, the definite observations of the anti-angiogenic effects of pazopanib could provide newer insights leading to the future development of drugs of the same mechanism with increased efficiency and reduced adverse effects.

摘要

帕唑帕尼是一种新的化疗药物,被认为具有良好的抗血管生成特性,为某些类型的癌症治疗带来了新的希望。尽管近年来进行了多项相关临床试验,但到目前为止,还没有专门讨论帕唑帕尼及其抗血管生成作用的系统评价。在这项综述中,我们旨在探讨帕唑帕尼抗血管生成作用的机制及其在治疗多种癌症中的疗效。我们纳入了这项研究中电子检索数据的随机临床试验、临床研究、队列研究和其他相关文章的结果。共有 352 项研究纳入了本综述。从这些研究中观察和记录了帕唑帕尼在各种癌症或模型中的作用。研究质量不确定,只有少数高质量的文章。研究最多的癌症包括肾细胞癌、实体瘤、晚期实体瘤、软组织肉瘤、乳腺癌和妇科癌症。此外,研究中还包括一些较少研究的癌症。基于观察到的肾细胞癌、实体瘤、晚期实体瘤和软组织肉瘤等与血管生成相关的机制导致的癌症中观察到的有利结果,帕唑帕尼已显示出其抗血管生成作用。本综述旨在研究、分析和评价帕唑帕尼在各种癌症中的抗血管生成特性。当考虑与血管生成相关的恶性肿瘤的治疗方案时,获得的结果可以提供一个合理的参考。此外,对帕唑帕尼抗血管生成作用的明确观察结果可以为同一机制的药物的未来发展提供新的见解,提高效率,减少不良反应。

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