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将现有药物重新用作胶质母细胞瘤的辅助治疗手段。

Repurposing existing agents as adjunct therapies for glioblastoma.

作者信息

Purow Benjamin

机构信息

Neurology Department, University of Virginia Neuro-Oncology Division, Old Medical School Room 4881, 21 Hospital Drive, Charlottesville, VA 22908, USA (B.P.).

出版信息

Neurooncol Pract. 2016 Sep;3(3):154-163. doi: 10.1093/nop/npv041. Epub 2015 Sep 30.

Abstract

Numerous non-oncologic medications have been found in the last decade to have anti-cancer properties. While the focus in oncology research should clearly remain on deriving new therapeutic strategies, repurposing these existing medications may offer the potential to rapidly enhance the effectiveness of treatment for resistant cancers. Glioblastoma, the most common and lethal brain cancer, is highly resistant to standard therapies and would benefit from even minor improvements in treatment. Numerous agents already in the clinic for non-cancer applications have been found to also possess potential against cancer or specifically against glioblastoma. These include agents with activities affecting oxidative stress, the immune reponse, epigenetic modifiers, cancer cell metabolism, and angiogenesis and invasiveness. This review serves as a guide for potential ways to repurpose individual drugs alongside standard glioblastoma therapies.

摘要

在过去十年中,人们发现许多非肿瘤药物具有抗癌特性。虽然肿瘤学研究的重点显然应继续放在开发新的治疗策略上,但重新利用这些现有药物可能有潜力迅速提高对耐药癌症的治疗效果。胶质母细胞瘤是最常见且致命的脑癌,对标准疗法具有高度抗性,即使治疗上有微小改善也会使其受益。人们发现许多已在临床上用于非癌症应用的药物也具有抗癌潜力,或对胶质母细胞瘤具有特异性作用。这些药物包括影响氧化应激、免疫反应、表观遗传修饰剂、癌细胞代谢以及血管生成和侵袭的药物。本综述为在标准胶质母细胞瘤治疗的同时重新利用个别药物的潜在方法提供了指导。

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