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黑色素瘤治疗综述。

Melanoma treatment in review.

作者信息

Domingues Beatriz, Lopes José Manuel, Soares Paula, Pópulo Helena

机构信息

Institute of Molecular Pathology and Immunology, University of Porto (IPATIMUP), Porto, Portugal.

Instituto de Investigação e Inovação em Saúde, Universidade do Porto, Porto, Portugal.

出版信息

Immunotargets Ther. 2018 Jun 7;7:35-49. doi: 10.2147/ITT.S134842. eCollection 2018.

DOI:10.2147/ITT.S134842
PMID:29922629
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5995433/
Abstract

Melanoma represents the most aggressive and the deadliest form of skin cancer. Current therapeutic approaches include surgical resection, chemotherapy, photodynamic therapy, immunotherapy, biochemotherapy, and targeted therapy. The therapeutic strategy can include single agents or combined therapies, depending on the patient's health, stage, and location of the tumor. The efficiency of these treatments can be decreased due to the development of diverse resistance mechanisms. New therapeutic targets have emerged from studies of the genetic profile of melanocytes and from the identification of molecular factors involved in the pathogenesis of the malignant transformation. In this review, we aim to survey therapies approved and under evaluation for melanoma treatment and relevant research on the molecular mechanisms underlying melanomagenesis.

摘要

黑色素瘤是皮肤癌中最具侵袭性和致命性的形式。目前的治疗方法包括手术切除、化疗、光动力疗法、免疫疗法、生物化疗和靶向疗法。治疗策略可包括单一药物或联合疗法,这取决于患者的健康状况、肿瘤分期和位置。由于多种耐药机制的出现,这些治疗的效率可能会降低。对黑素细胞基因图谱的研究以及对参与恶性转化发病机制的分子因素的鉴定,产生了新的治疗靶点。在本综述中,我们旨在概述已批准和正在评估的黑色素瘤治疗方法,以及黑素瘤发生潜在分子机制的相关研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc4/5995433/b4095b0dadcb/itt-7-035Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc4/5995433/01eb9476d092/itt-7-035Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc4/5995433/14d1f1d241df/itt-7-035Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc4/5995433/b4095b0dadcb/itt-7-035Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc4/5995433/01eb9476d092/itt-7-035Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc4/5995433/14d1f1d241df/itt-7-035Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc4/5995433/b4095b0dadcb/itt-7-035Fig3.jpg

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Primary and Acquired Resistance to Immune Checkpoint Inhibitors in Metastatic Melanoma.原发性和获得性耐药免疫检查点抑制剂治疗转移性黑色素瘤。
Clin Cancer Res. 2018 Mar 15;24(6):1260-1270. doi: 10.1158/1078-0432.CCR-17-2267. Epub 2017 Nov 10.
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High frequency of brain metastases after adjuvant therapy for high-risk melanoma.高危黑色素瘤辅助治疗后脑转移的高发生率。
Cancer Med. 2017 Nov;6(11):2576-2585. doi: 10.1002/cam4.1223. Epub 2017 Oct 10.
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The role of the tumour microenvironment in immunotherapy.肿瘤微环境在免疫治疗中的作用。
Pharmaceutics. 2025 Jul 19;17(7):932. doi: 10.3390/pharmaceutics17070932.
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Tumor Microenvironment in Melanoma-Characteristic and Clinical Implications.黑色素瘤中的肿瘤微环境——特征与临床意义
Int J Mol Sci. 2025 Jul 15;26(14):6778. doi: 10.3390/ijms26146778.
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Salidroside inhibits melanin synthesis and melanoma growth via mTOR and PI3K/Akt pathways.红景天苷通过mTOR和PI3K/Akt信号通路抑制黑色素合成及黑色素瘤生长。
Front Oncol. 2025 Jul 10;15:1583580. doi: 10.3389/fonc.2025.1583580. eCollection 2025.
6
Spatial determinants of tumor cell dedifferentiation and plasticity in primary cutaneous melanoma.原发性皮肤黑色素瘤中肿瘤细胞去分化和可塑性的空间决定因素
bioRxiv. 2025 Jun 24:2025.06.21.660851. doi: 10.1101/2025.06.21.660851.
7
Assessing the Data Quality Dimensions of Surgical Oncology Cohorts in the Research Program.评估研究项目中外科肿瘤学队列的数据质量维度。
JCO Clin Cancer Inform. 2025 Jul;9:e2500078. doi: 10.1200/CCI-25-00078. Epub 2025 Jul 8.
8
Generation and functional analysis of melanoma antigen-specific CD8+ T cells derived from S/MAR vector-transfected human induced pluripotent stem cells.源自S/MAR载体转染的人诱导多能干细胞的黑色素瘤抗原特异性CD8 + T细胞的生成及功能分析。
Int J Cancer. 2025 Nov 1;157(9):1876-1887. doi: 10.1002/ijc.35524. Epub 2025 Jun 12.
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Endocr Relat Cancer. 2017 Dec;24(12):T283-T295. doi: 10.1530/ERC-17-0146. Epub 2017 Jul 28.
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J BUON. 2017 May-Jun;22(3):592-598.
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Adjuvant interferon-α for the treatment of high-risk melanoma: An individual patient data meta-analysis.辅助性α干扰素治疗高危黑色素瘤:一项个体患者数据荟萃分析。
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