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遗传途径在鼻咽癌(NPC)患者放化疗抵抗中的作用。

The Role of Genetic Pathways in the Development of Chemoradiation Resistance in Nasopharyngeal Carcinoma (NPC) Patients.

机构信息

Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia.

Department of Microbiology and Parasitology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia.

出版信息

Genes (Basel). 2021 Nov 21;12(11):1835. doi: 10.3390/genes12111835.

Abstract

Management of nasopharyngeal carcinoma (NPC) remains elusive despite new developments and advancement that has been made in the current management approaches. A patient's survival and prognosis remain dismal especially for a late-stage disease. This is highly attribute to the chemoradiation resistance. Arrays of genes and molecular mechanisms underlie the development of chemoradiation resistance in NPC. Imperatively, unravelling the true pathogenesis of chemoradiation resistance is crucial as these significant proteins and genes can be modulated to produce an effective therapeutic target. It is pivotal to identify the chemoradiation resistance at the very beginning in order to combat the chemoradiation resistance efficiently. Intense research in the genetic ecosphere is critical, as the discovery and development of novel therapeutic targets can be used for screening, diagnosis, and treating the chemoradiation resistance aggressively. This will escalate the management trajectory of NPC patients. This article highlights the significance of genetic and molecular factors that play critical roles in the chemoradiation resistance and how these factors may be modified for next-generation targeted therapy products.

摘要

尽管在当前的治疗方法中取得了新的发展和进步,但鼻咽癌(NPC)的治疗仍然难以捉摸。患者的生存和预后仍然不容乐观,尤其是晚期疾病患者。这主要归因于放化疗耐药性。一系列基因和分子机制是 NPC 发生放化疗耐药性的基础。当这些重要的蛋白质和基因被调节以产生有效的治疗靶点时,阐明放化疗耐药性的真正发病机制至关重要。为了有效地对抗放化疗耐药性,必须在一开始就确定放化疗耐药性。在遗传生态系统中进行深入研究至关重要,因为新的治疗靶点的发现和开发可用于筛选、诊断和积极治疗放化疗耐药性。这将提升 NPC 患者的管理轨迹。本文强调了遗传和分子因素在放化疗耐药性中的重要作用,以及如何修改这些因素以用于下一代靶向治疗产品。

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