一种对瘤无关的NTRK (TRK) 抑制剂
Franklin W Huang1, Felix Y Feng1
1University of California, San Francisco, San Francisco, CA 94158.
Cell
|March 23, 2019
概括
拉罗特雷克提尼布是一种向性癌症疗法,抑制NTRK融合. 它的FDA批准标志着基于基因组见解的第一个瘤无关的指示,
科学领域:
- 癌症学
- 分子生物学
- 遗传学
背景情况:
- 拉罗特雷克提尼布是一种小分子激酶抑制剂.
- 它针对神经受体激酶 (NTRK) 基因融合.
- 在各种癌症中发现NTRK融合.
研究的目的:
- 为了强调Larotrectinib获得FDA批准的重要性.
- 强调它作为第一个无瘤癌症治疗的地位.
- 强调基因组洞察力的作用.
主要方法:
- 对拉罗特雷克提尼的作用机制的审查.
- 支持其有效性的临床试验数据分析.
- 对瘤不可知性指示的调节途径的检查.
主要成果:
- 拉罗特雷克提尼有效向具有NTRK融合的癌症.
- 美国食品和药物管理局的批准为瘤无关的治疗指示创造了先例.
- 基因组分析对于识别符合条件的患者至关重要.
结论:
- 拉罗特雷克提尼布代表了癌症治疗的模式转变.
- 基于基因标记的瘤不可知疗法是一个有前途的前沿.
- 精准医学方法正在改变瘤治疗.
相关概念视频
Eukaryotic Transcription Inhibitors
10.9K
Certain biochemical processes, such as embryonic development and cell growth regulation, depend on the repression of specific genes. DNA binding proteins known as eukaryotic transcription inhibitors regulate the repression of gene expression in eukaryotes. The presence of these inhibitors at the required location and time in the cell is triggered by the presence of hormones and additional signals from other cells.
Eukaryotic transcription inhibitors usually contain two distinct domains, a...
Eukaryotic transcription inhibitors usually contain two distinct domains, a...
10.9K
Dipeptidyl Peptidase 4 Inhibitors
629
Dipeptidyl peptidase 4 (DPP-4) is a serine protease widely distributed in the body. It's involved in the inactivation of GLP-1 and GIP hormones, which are crucial for insulin regulation. DPP-4 inhibitors, such as sitagliptin (Januvia), saxagliptin (Onglyza), linagliptin (Tradjenta), alogliptin (Nesina), and vildagliptin (Galvus), help increase the proportion of active GLP-1, enhancing insulin secretion. These inhibitors work by competitively binding to DPP-4. This binding causes a...
629
Antihypertensive Drugs: Direct Renin Inhibitors
1.4K
The renin-angiotensin-aldosterone system (RAAS) is an intricate physiological pathway involving numerous enzymes and hormones, including renin, angiotensin-converting enzyme (ACE), angiotensin I and II, and aldosterone. Imbalances within this system increase the production of angiotensin II and aldosterone. Increased angiotensin II levels promote vasoconstriction and blood pressure elevation. Concurrently, higher aldosterone levels stimulate sodium and water reabsorption in the kidneys,...
1.4K
Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors
2.5K
Angiotensin-converting enzyme (ACE), a vital component of the renin-angiotensin-aldosterone system, is abundant in lung endothelial cells. ACE converts the inactive decapeptide, angiotensin I, into the active octapeptide, angiotensin II. This potent vasoconstrictor narrows blood vessels, increasing resistance to blood flow and elevating blood pressure. Angiotensin II also stimulates aldosterone production, encouraging kidney cells to reabsorb more sodium and water from urine, thereby increasing...
2.5K
Treatment for Pulmonary Arterial Hypertension: Phosphodiesterase Inhibitors
591
Phosphodiesterase 5 (PDE5) inhibitors are potent enzymes that function to hydrolyze cyclic nucleotides to their corresponding 5' monophosphates. Their unique biochemical properties have been applied in treating Pulmonary Arterial Hypertension (PAH).
Among the PDE5 inhibitors, sildenafil (Revatio) stands out as a competitive and selective inhibitor. It operates by elevating cellular levels of cGMP and augmenting signaling through the cGMP-PKG pathway, promoting vasodilation. Upon oral...
Among the PDE5 inhibitors, sildenafil (Revatio) stands out as a competitive and selective inhibitor. It operates by elevating cellular levels of cGMP and augmenting signaling through the cGMP-PKG pathway, promoting vasodilation. Upon oral...
591
Oral Hypoglycemic Agents: α-Glucosidase Inhibitors
558
α-glucosidase inhibitors, including acarbose (Precose), miglitol (Glyset), and voglibose (Voglib) (primarily available in Asia), are drugs that control blood sugar levels by delaying the digestion of starch and disaccharides. They achieve this by inhibiting α-glucosidase enzymes in the intestine, which slow the absorption of carbohydrates in the intestine, which in turn leads to a prolonged release of the glucoregulatory hormone GLP-1 from intestinal L-cells.
Acarbose and miglitol are...
Acarbose and miglitol are...
558


