Suppr超能文献

癌症对放疗的抗性

Resistance to Radiotherapy in Cancer.

作者信息

Akhunzianov Almaz A, Rozhina Elvira V, Filina Yuliya V, Rizvanov Albert A, Miftakhova Regina R

机构信息

Institute of Fundamental Medicine and Biology, Kazan Federal University, 420008 Kazan, Russia.

Division of Medical and Biological Sciences, Tatarstan Academy of Sciences, 420111 Kazan, Russia.

出版信息

Diseases. 2025 Jan 17;13(1):22. doi: 10.3390/diseases13010022.

Abstract

Radiation therapy or radiotherapy is a medical treatment that uses high doses of ionizing radiation to eliminate cancer cells and shrink tumors. It works by targeting the DNA within the tumor cells restricting their proliferation. Radiotherapy has been used for treating cancer for more than 100 years. Along with surgery and chemotherapy, it is one of the three main and most common approaches used in cancer therapy. Nowadays, radiotherapy has become a standard treatment option for a wide range of cancers around the world, including lung, breast, cervical, and colorectal cancers. Around 50% of all patients will require radiotherapy, 60% of whom are treated with curative intent. Moreover, it is commonly used for palliative treatment. Radiotherapy provides 5-year local control and overall survival benefit in 10.4% and 2.4% of all cancer patients, respectively. The highest local control benefit is reported for cervical (33%), head and neck (32%), and prostate (26%) cancers. But no benefit is observed in pancreas, ovary, liver, kidney, and colon cancers. Such relatively low efficiency is related to the development of radiation resistance, which results in cancer recurrence, metastatic dissemination, and poor prognosis. The identification of radioresistance biomarkers allows for improving the treatment outcome. These biomarkers mainly include proteins involved in metabolism and cell signaling pathways.

摘要

放射治疗是一种利用高剂量电离辐射来消除癌细胞并缩小肿瘤的医学治疗方法。它通过靶向肿瘤细胞内的DNA来限制其增殖。放射治疗用于治疗癌症已有100多年历史。与手术和化疗一起,它是癌症治疗中三种主要且最常见的方法之一。如今,放射治疗已成为全球范围内多种癌症的标准治疗选择,包括肺癌、乳腺癌、宫颈癌和结直肠癌。大约50%的所有癌症患者需要接受放射治疗,其中60%的患者接受的是根治性治疗。此外,它还常用于姑息治疗。放射治疗分别使10.4%和2.4%的所有癌症患者获得5年局部控制和总生存获益。据报道,宫颈癌(33%)、头颈癌(32%)和前列腺癌(26%)的局部控制获益最高。但在胰腺癌、卵巢癌、肝癌、肾癌和结肠癌中未观察到获益。这种相对较低的疗效与放射抗性的产生有关,放射抗性会导致癌症复发、转移扩散和预后不良。鉴定放射抗性生物标志物有助于改善治疗效果。这些生物标志物主要包括参与代谢和细胞信号通路的蛋白质。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5a7/11764699/cd9526581ff1/diseases-13-00022-g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验