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解锁 c-MET:乳腺癌靶向治疗的全面探索。

Unlocking c-MET: A comprehensive journey into targeted therapies for breast cancer.

机构信息

Graduate Institute of Biomedical Sciences, Institute of Biochemistry and Molecular Biology, Research Center for Cancer Biology, Cancer Biology and Precision Therapeutics Center, and Center for Molecular Medicine, China Medical University, Taichung, 406, Taiwan.

Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran.

出版信息

Cancer Lett. 2024 Apr 28;588:216780. doi: 10.1016/j.canlet.2024.216780. Epub 2024 Mar 8.

Abstract

Breast cancer is the most common malignancy among women, posing a formidable health challenge worldwide. In this complex landscape, the c-MET (cellular-mesenchymal epithelial transition factor) receptor tyrosine kinase (RTK), also recognized as the hepatocyte growth factor (HGF) receptor (HGFR), emerges as a prominent protagonist, displaying overexpression in nearly 50% of breast cancer cases. Activation of c-MET by its ligand, HGF, secreted by neighboring mesenchymal cells, contributes to a cascade of tumorigenic processes, including cell proliferation, metastasis, angiogenesis, and immunosuppression. While c-MET inhibitors such as crizotinib, capmatinib, tepotinib and cabozantinib have garnered FDA approval for non-small cell lung cancer (NSCLC), their potential within breast cancer therapy is still undetermined. This comprehensive review embarks on a journey through structural biology, multifaceted functions, and intricate signaling pathways orchestrated by c-MET across cancer types. Furthermore, we highlight the pivotal role of c-MET-targeted therapies in breast cancer, offering a clinical perspective on this promising avenue of intervention. In this pursuit, we strive to unravel the potential of c-MET as a beacon of hope in the fight against breast cancer, unveiling new horizons for therapeutic innovation.

摘要

乳腺癌是女性中最常见的恶性肿瘤,在全球范围内构成了严峻的健康挑战。在这个复杂的领域中,细胞间质上皮转化因子(c-MET)受体酪氨酸激酶(RTK),也被称为肝细胞生长因子(HGF)受体(HGFR),作为一个重要的主角出现,其在近 50%的乳腺癌病例中表现出过度表达。其配体 HGF 由邻近的间质细胞分泌,c-MET 的激活导致了一系列肿瘤发生过程,包括细胞增殖、转移、血管生成和免疫抑制。虽然 c-MET 抑制剂,如克唑替尼、卡马替尼、特泊替尼和卡博替尼,已获得美国食品和药物管理局(FDA)批准用于非小细胞肺癌(NSCLC),但其在乳腺癌治疗中的潜力仍未确定。这篇综述全面探讨了 c-MET 在不同癌症类型中的结构生物学、多方面功能和复杂信号通路,强调了 c-MET 靶向治疗在乳腺癌中的关键作用,提供了这一有前途的干预途径的临床视角。在这一探索中,我们努力揭示 c-MET 作为乳腺癌治疗希望之光的潜力,为治疗创新开辟新的视野。

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