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黏着斑激酶:在食管癌中的作用和治疗潜力的研究进展。

Focal adhesion kinase: Insight into its roles and therapeutic potential in oesophageal cancer.

机构信息

Department of Radiation Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, Jiangsu province, China; The First School of Clinical Medicine, Nanjing Medical University, Nanjing, 210029, Jiangsu province, China.

Department of Radiation Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, Jiangsu province, China.

出版信息

Cancer Lett. 2021 Jan 1;496:93-103. doi: 10.1016/j.canlet.2020.10.005. Epub 2020 Oct 8.

Abstract

Oesophageal cancer is associated with high morbidity and mortality rates because it is highly invasive and prone to recurrence and metastasis, with a five-year survival rate of <20%. Therefore, there is an urgent need for new methods aimed at improving therapeutic intervention. Several studies have shown that targeted therapy may be effective for the treatment of oesophageal cancer. Focal adhesion kinase (FAK), a non-receptor tyrosine kinase with kinase activity and scaffolding function, could be overexpressed in a variety of solid tumours, including oesophageal cancer. FAK participates in survival, proliferation, progression, adhesion, invasion, migration, epithelial-to-mesenchymal transition, angiogenesis, DNA damage repair, and other biological processes through multiple signalling pathways in cancer cells. It plays an important role in the occurrence and development of tumours and has been linked to the prognosis of oesophageal cancer. FAK has been suggested as a potential therapeutic target in oesophageal cancer; thus, the combination of FAK inhibitors with chemotherapy, radiotherapy, and immunotherapy is expected to prolong the survival of patients. This paper presents a brief overview of the structure of FAK and its potential role in oesophageal cancer, providing a rationale for the future application of FAK inhibitors in the treatment of the disease.

摘要

食管癌发病率和死亡率高,侵袭性强,易复发转移,五年生存率<20%。因此,迫切需要新的方法来改善治疗干预。多项研究表明,靶向治疗可能对食管癌的治疗有效。黏着斑激酶(FAK)是一种具有激酶活性和支架功能的非受体酪氨酸激酶,在多种实体瘤中过度表达,包括食管癌。FAK 通过癌细胞中的多条信号通路参与存活、增殖、进展、黏附、侵袭、迁移、上皮间质转化、血管生成、DNA 损伤修复等生物学过程。它在肿瘤的发生发展中起着重要作用,并与食管癌的预后有关。FAK 已被认为是食管癌潜在的治疗靶点;因此,FAK 抑制剂与化疗、放疗和免疫疗法的联合有望延长患者的生存时间。本文简要概述了 FAK 的结构及其在食管癌中的潜在作用,为 FAK 抑制剂在该疾病治疗中的未来应用提供了理论依据。

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