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癌症治疗新途径综述:临床应用与未来展望

A Comprehensive Review on Novel Pathways in Cancer Treatment: Clinical Applications and Future Prospects.

作者信息

Shifana A S, Adnan Mohammad, Gupta Akash, Jain Parag

机构信息

Department of Pharmacology, Rungta College of Pharmaceutical Science and Research, Bhilai, Chhattisgarh, India.

Rungta College of Engineering and Technology, Bhilai, Chhattisgarh, India.

出版信息

Curr Cancer Drug Targets. 2024 Jul 25. doi: 10.2174/0115680096312603240709112520.

Abstract

Cancer is a global health issue that requires ongoing therapeutic advances. This review provides an overview of recent treatment strategies focusing on novel pathways in cancer therapy. Emerging research has unveiled promising targets that go beyond traditional modalities, offering new avenues for precision medicine and improved patient outcomes. One key area of innovation lies in targeted therapies directed at specific molecular pathways implicated in cancer progression. The identification of novel biomarkers has paved the way for the development of precision medicines tailored to individual patient profiles. Immunotherapy has also revolutionised cancer treatment by using the immune system to identify and remove cancer cells. Moreover, advancements in epigenetic therapies and RNA-based interventions demonstrate unprecedented potential in modulating gene expression and disrupting cancer-specific signalling pathways. We have discussed the pathophysiology of cancer, different immune checkpoint inhibitors, and targeted therapies in signalling therapies. The epigenetic modulators, such as Histone deacetylase (HDACs) inhibitors and DNA methyltransferase (DNMT) inhibitors, were studied. Recent breakthroughs in cancer immunotherapy treatment (CAR-T) cell therapy showcase the potential to enhance the immune response against various cancers; thus, related information was incorporated. Further, RNA-based therapies like RNA interference and mRNA-based vaccines and therapies, combination therapies, and novel therapies were discussed in the present article.

摘要

癌症是一个全球性的健康问题,需要不断取得治疗进展。本综述概述了近期聚焦于癌症治疗新途径的治疗策略。新兴研究揭示了超越传统模式的有前景的靶点,为精准医学和改善患者预后提供了新途径。创新的一个关键领域在于针对癌症进展中涉及的特定分子途径的靶向治疗。新型生物标志物的识别为根据个体患者特征量身定制精准药物铺平了道路。免疫疗法通过利用免疫系统识别和清除癌细胞,也彻底改变了癌症治疗。此外,表观遗传疗法和基于RNA的干预措施的进展在调节基因表达和破坏癌症特异性信号通路方面显示出前所未有的潜力。我们讨论了癌症的病理生理学、不同的免疫检查点抑制剂以及信号疗法中的靶向治疗。研究了表观遗传调节剂,如组蛋白去乙酰化酶(HDACs)抑制剂和DNA甲基转移酶(DNMT)抑制剂。癌症免疫治疗(CAR-T)细胞疗法的近期突破展示了增强针对各种癌症的免疫反应的潜力;因此,纳入了相关信息。此外,本文还讨论了基于RNA的疗法,如RNA干扰和基于mRNA的疫苗及疗法、联合疗法和新型疗法。

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