靶向蛋白激酶和表观遗传调控作为晚期前列腺癌治疗的联合治疗选择
Targeting Protein Kinases and Epigenetic Control as Combinatorial Therapy Options for Advanced Prostate Cancer Treatment.
作者信息
Bagheri Soghra, Rahban Mahdie, Bostanian Fatemeh, Esmaeilzadeh Fatemeh, Bagherabadi Arash, Zolghadri Samaneh, Stanek Agata
机构信息
Medical Biology Research Center, Health Technology Institute, Kermanshah University of Medical Sciences, Kermanshah 6714415185, Iran.
Institute of Biochemistry and Biophysics, University of Tehran, Tehran 1417614335, Iran.
出版信息
Pharmaceutics. 2022 Feb 25;14(3):515. doi: 10.3390/pharmaceutics14030515.
Prostate cancer (PC), the fifth leading cause of cancer-related mortality worldwide, is known as metastatic bone cancer when it spreads to the bone. Although there is still no effective treatment for advanced/metastatic PC, awareness of the molecular events that contribute to PC progression has opened up opportunities and raised hopes for the development of new treatment strategies. Androgen deprivation and androgen-receptor-targeting therapies are two gold standard treatments for metastatic PC. However, acquired resistance to these treatments is a crucial challenge. Due to the role of protein kinases (PKs) in the growth, proliferation, and metastases of prostatic tumors, combinatorial therapy by PK inhibitors may help pave the way for metastatic PC treatment. Additionally, PC is known to have epigenetic involvement. Thus, understanding epigenetic pathways can help adopt another combinatorial treatment strategy. In this study, we reviewed the PKs that promote PC to advanced stages. We also summarized some PK inhibitors that may be used to treat advanced PC and we discussed the importance of epigenetic control in this cancer. We hope the information presented in this article will contribute to finding an effective treatment for the management of advanced PC.
前列腺癌(PC)是全球癌症相关死亡的第五大主要原因,当它扩散到骨骼时被称为转移性骨癌。尽管晚期/转移性PC仍然没有有效的治疗方法,但对促成PC进展的分子事件的认识为新治疗策略的开发带来了机遇并燃起了希望。雄激素剥夺和靶向雄激素受体疗法是转移性PC的两种金标准治疗方法。然而,对这些治疗产生获得性耐药是一个关键挑战。由于蛋白激酶(PKs)在前列腺肿瘤的生长、增殖和转移中所起的作用,PK抑制剂联合治疗可能有助于为转移性PC治疗铺平道路。此外,已知PC存在表观遗传参与。因此,了解表观遗传途径有助于采用另一种联合治疗策略。在本研究中,我们综述了促使PC发展到晚期的PKs。我们还总结了一些可能用于治疗晚期PC的PK抑制剂,并讨论了表观遗传控制在这种癌症中的重要性。我们希望本文提供的信息将有助于找到治疗晚期PC的有效方法。
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