Chen Daohong
Research Institute of Biological Medicine, Yiling Pharmaceutical; Beijing 102600, China.
Med Sci (Basel). 2019 Mar 4;7(3):41. doi: 10.3390/medsci7030041.
Although there is a contemporary consensus of managing a severe disease with multi-targeted approach-based therapeutic combinations, it should not be ignored that certain patho-biological pathways are shared by distinct medical conditions and can be exploited to develop an exceptional type of medication conferring a dual efficacy. This article thus presents a spectrum of emerging molecular targets that substantially contribute to the pathogenesis of both fibrotic and neoplastic disorders, including kinase activities, cytokine cascades, and protein dynamics among others. Moreover, recently approved therapeutic agents in this regard have been sorted out to corroborate the drug's ability upon targeting each one of these molecular pathways to treat fibrosis and cancer simultaneously. It not only streamlines an overlapping mechanistic profile in the pathogenesis across these two medical conditions, but also inspires clinicians and pharmaceutical innovation to tackle concomitant diseases, such as fibrosis and cancer, with an optimally efficacious medication.
尽管目前对于采用基于多靶点方法的治疗组合来管理严重严重严重严重疾病已达成共识,但不应忽视的是,某些病理生物学途径在不同的医学病症中是共有的,并且可以利用这些途径来开发具有双重疗效的特殊类型药物。因此,本文介绍了一系列新出现的分子靶点,这些靶点在纤维化和肿瘤性疾病的发病机制中起着重要作用,包括激酶活性、细胞因子级联反应和蛋白质动态变化等。此外,还梳理了近期在这方面获批的治疗药物,以证实这些药物针对每一种分子途径治疗纤维化和癌症的能力。这不仅简化了这两种医学病症发病机制中的重叠机制,也激励临床医生和药物创新,以一种疗效最佳的药物来应对诸如纤维化和癌症等并发疾病。