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进一步深入研究睾丸生殖细胞肿瘤发生机制:潜在治疗靶点。

Further insights into testicular germ cell tumor oncogenesis: potential therapeutic targets.

机构信息

Dipartimento di Psicologia, Università della Campania, Caserta, Italy.

Istituto di Endocrinologia ed Oncologia Sperimentale del CNR c/o Dipartimento di Medicina Molecolare e Biotecnologie Mediche, Scuola di Medicina e Chirurgia di Napoli, Università degli Studi di Napoli 'Federico II', Naples, Italy.

出版信息

Expert Rev Anticancer Ther. 2020 Mar;20(3):189-195. doi: 10.1080/14737140.2020.1736566. Epub 2020 Mar 12.

Abstract

: Testicular germ cell tumors (TGCTs) are the most common neoplasia in the young male population, and the incidence has been constantly increasing in many parts of the world. These tumors are classified into seminomas and non-seminomas, and those divided, in turn, into yolk sac tumors, embryonal cell carcinomas, choriocarcinomas, and teratomas. Although therapeutic approaches have improved, approximately 25% of the patients relapse or, in a small number of cases, show platinum-resistant disease.: We review several molecular targets that have recently emerged as powerful tools for both diagnosis and therapy of TGCTs. Moreover, we reviewed the most frequent deregulated pathways involved in TGCT tumorigenesis, reporting drugs that may emerge as novel therapeutic agents.: TGCT treatment is mainly based on platinum-derivative therapy with high cure rates. However, in the refractory patients, there are few alternative treatments. Thus, different pharmacological approaches have to be thoroughly investigated to shed new light on TGCT pathogenesis and treatment.

摘要

睾丸生殖细胞肿瘤(TGCTs)是年轻男性人群中最常见的肿瘤,在世界许多地区其发病率一直在不断上升。这些肿瘤可分为精原细胞瘤和非精原细胞瘤,而非精原细胞瘤又可进一步分为卵黄囊瘤、胚胎细胞癌、绒毛膜癌和畸胎瘤。尽管治疗方法有所改进,但约 25%的患者会复发,或在少数情况下出现铂类耐药性疾病。我们综述了最近出现的几个分子靶点,这些靶点是 TGCT 诊断和治疗的有力工具。此外,我们还综述了参与 TGCT 肿瘤发生的最常见失调途径,并报告了可能成为新型治疗药物的药物。TGCT 的治疗主要基于铂类衍生物治疗,治愈率很高。然而,在耐药患者中,治疗选择很少。因此,需要彻底研究不同的药理方法,以深入了解 TGCT 的发病机制和治疗方法。

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