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雄激素信号轴在泌尿生殖系统恶性肿瘤中的作用。

Role of the androgen signaling axis in genitourinary malignancies.

作者信息

Shinder Brian M, Shupe Adam, Lee Geun Taek, Stein Mark N, Kim Isaac Y, Singer Eric A

机构信息

Section of Urologic Oncology, Rutgers Cancer Institute of New Jersey and Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.

Division of Medical Oncology, Rutgers Cancer Institute of New Jersey and Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.

出版信息

Transl Cancer Res. 2018 Aug;7(4):1135-1142. doi: 10.21037/tcr.2018.03.41.

DOI:10.21037/tcr.2018.03.41
PMID:30701159
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6349041/
Abstract

As we learn more about the molecular biology of genitourinary malignancies, novel therapeutic strategies can be developed. This is especially crucial for prostate, renal, and bladder cancer, where mortality rates remain high especially in advanced disease states. The androgen signaling axis and the androgen receptor (AR) are areas that are actively being explored for their role in these diseases. Although long been associated with prostate cancer development and progression, the role of AR in renal cell carcinoma (RCC) and bladder cancer is becoming recognized as well. This review will highlight the current research into the role of the androgen signaling axis in genitourinary malignancies and how this pathway is being used to expand our therapeutic armamentarium.

摘要

随着我们对泌尿生殖系统恶性肿瘤分子生物学的了解不断深入,可以开发出新的治疗策略。这对于前列腺癌、肾癌和膀胱癌尤为关键,因为这些癌症的死亡率仍然很高,尤其是在疾病晚期。雄激素信号轴和雄激素受体(AR)是目前正在积极探索其在这些疾病中作用的领域。尽管长期以来一直认为AR与前列腺癌的发生和发展有关,但AR在肾细胞癌(RCC)和膀胱癌中的作用也逐渐得到认可。本综述将重点介绍目前关于雄激素信号轴在泌尿生殖系统恶性肿瘤中作用的研究,以及该通路如何被用于扩展我们的治疗手段。

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本文引用的文献

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Apalutamide Treatment and Metastasis-free Survival in Prostate Cancer.阿帕鲁胺治疗与前列腺癌无转移生存。
N Engl J Med. 2018 Apr 12;378(15):1408-1418. doi: 10.1056/NEJMoa1715546. Epub 2018 Feb 8.
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Cancer statistics, 2018.癌症统计数据,2018 年。
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Androgen deprivation therapy for the treatment of prostate cancer: a focus on pharmacokinetics.雄激素剥夺疗法治疗前列腺癌:聚焦于药代动力学
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Enzalutamide inhibits proliferation of gemcitabine-resistant bladder cancer cells with increased androgen receptor expression.恩杂鲁胺通过增加雄激素受体表达来抑制吉西他滨耐药膀胱癌细胞的增殖。
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8
Androgen receptor (AR) signaling promotes RCC progression via increased endothelial cell proliferation and recruitment by modulating AKT → NF-κB → CXCL5 signaling.雄激素受体 (AR) 信号通过调节 AKT→NF-κB→CXCL5 信号促进内皮细胞增殖和募集,从而促进 RCC 的进展。
Sci Rep. 2016 Nov 16;6:37085. doi: 10.1038/srep37085.
9
Precision Oncology: Identifying Predictive Biomarkers for the Treatment of Metastatic Renal Cell Carcinoma.精准肿瘤学:识别转移性肾细胞癌治疗的预测生物标志物
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Suppressed Recurrent Bladder Cancer after Androgen Suppression with Androgen Deprivation Therapy or 5α-Reductase Inhibitor.雄激素剥夺治疗或 5α-还原酶抑制剂抑制后复发膀胱癌。
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