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实体瘤中靶向P53治疗的疗效分析

Efficacy analysis of targeted P53 therapy in solid tumors.

作者信息

Wang Pei, Wang Feng

机构信息

Department of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.

出版信息

Med Oncol. 2025 Jul 22;42(8):360. doi: 10.1007/s12032-025-02930-y.

Abstract

Mutations in the oncogene p53 are present in nearly all types of carcinomas and are commonly inactivated in certain tumor types, resulting in a poor prognosis for these patients. In contrast to the prevailing perspective that targeting p53 protein is not feasible, an increasing number of scholars have found that strategies such as directly or indirectly targeting P53 to enhance or restore the function of wild-type P53, or degrading mutant P53 so that the gain of function caused by it disappears, as well as modulating the immune response and cellular metabolism, can control the progression of tumor cells in different states of P53. This article aims to provide a comprehensive overview of the most recent targeted drugs for solid tumors with different P53 status. At the same time, it conducts a thorough analysis of the efficacy of relevant drugs in patients and puts forward possible reasons for the poor efficacy of some medicines.

摘要

癌基因p53的突变几乎存在于所有类型的癌症中,并且在某些肿瘤类型中通常失活,导致这些患者的预后不良。与普遍认为靶向p53蛋白不可行的观点相反,越来越多的学者发现,诸如直接或间接靶向P53以增强或恢复野生型P53的功能,或降解突变型P53以使由其引起的功能获得消失,以及调节免疫反应和细胞代谢等策略,可以控制处于不同P53状态的肿瘤细胞的进展。本文旨在全面概述针对不同P53状态实体瘤的最新靶向药物。同时,对相关药物在患者中的疗效进行深入分析,并提出一些药物疗效不佳的可能原因。

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