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针对 MET 受体的生物治疗药物在晚期癌症治疗中的进展与挑战。

Progress and challenge in development of biotherapeutics targeting MET receptor for treatment of advanced cancer.

机构信息

State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China; National Clinical Research Center for Infectious Diseases, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Cancer Biology Research Center, Texas Tech University Health Sciences Center, Amarillo, TX, USA; Department of Pharmaceutical Sciences, School of Pharmacy, Texas Tech University Health Sciences Center, Amarillo, TX, USA.

出版信息

Biochim Biophys Acta Rev Cancer. 2020 Dec;1874(2):188425. doi: 10.1016/j.bbcan.2020.188425. Epub 2020 Sep 19.

Abstract

Advanced epithelial cancers such as gastric, lung, and pancreatic tumors are featured by invasive proliferation, distant metastasis, acquired chemoresistance, and tumorigenic stemness. For the last decade, molecular-targeted therapies using therapeutic antibodies, small molecule kinase inhibitors and immune-checkpoint blockades have been applied for these diseases with significant clinical benefits. Nevertheless, there is still a large gap to achieve curative outcomes. MET (mesenchymal-epithelial transition protein), a receptor tyrosine kinase, is a tumorigenic determinant that regulates epithelial cancer initiation, progression, and malignancy. Increased MET expression also has prognostic value for cancer progression and patient survival. These features provide the rationale to target MET for cancer treatment. In this review, we discuss the importance of MET in epithelial tumorigenesis and the development of antibody-based biotherapeutics, including bispecific antibodies and antibody-drug conjugates, for clinical application. The findings from both preclinical and clinical studies highlight the potential of MET-targeted biotherapeutics for cancer therapy in the future.

摘要

高级上皮癌,如胃癌、肺癌和胰腺癌,其特征为侵袭性增殖、远处转移、获得性化疗耐药性和肿瘤干性。在过去的十年中,使用治疗性抗体、小分子激酶抑制剂和免疫检查点抑制剂的分子靶向治疗已应用于这些疾病,并取得了显著的临床获益。然而,要实现治愈效果仍有很大差距。MET(间质-上皮转化蛋白)是一种受体酪氨酸激酶,是一种肿瘤发生决定因素,可调节上皮癌的发生、进展和恶性程度。MET 表达增加也对癌症进展和患者生存具有预后价值。这些特征为癌症治疗靶向 MET 提供了依据。在这篇综述中,我们讨论了 MET 在上皮肿瘤发生中的重要性,以及针对 MET 的抗体类生物治疗药物(包括双特异性抗体和抗体药物偶联物)的开发及其临床应用。临床前和临床研究的结果强调了 MET 靶向生物治疗药物在未来癌症治疗中的潜力。

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