Trotti A
H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL 33612, USA.
Curr Opin Oncol. 1997 Nov;9(6):569-78. doi: 10.1097/00001622-199711000-00013.
Modern cancer therapy produces substantial acute and chronic toxicity which impairs quality of life and limits the effectiveness of treatment. Recent clinical and laboratory data suggest that repair of treatment-related injury is a multiphase and continuous process providing multiple opportunities for pharmacologic intervention. A host of agents (toxicity antagonists) are under development that modulate normal tissue response or interfere with mechanisms of toxicity. Although significant challenges remain, the routine application of such agents promises to substantially reduce treatment related morbidity and potentially allow treatment intensification in high-risk disease.
现代癌症治疗会产生严重的急性和慢性毒性,这会损害生活质量并限制治疗效果。最近的临床和实验室数据表明,治疗相关损伤的修复是一个多阶段的持续过程,为药物干预提供了多个机会。许多药物(毒性拮抗剂)正在研发中,它们可调节正常组织反应或干扰毒性机制。尽管仍存在重大挑战,但此类药物的常规应用有望大幅降低治疗相关的发病率,并有可能在高危疾病中加强治疗。