布拉夫 (BRAF) - - 一种瘤不可知药物标,具有特定血统的依赖性
Aphrothiti J Hanrahan1, Ziyu Chen1,2, Neal Rosen3,4,5
1Human Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Nature reviews. Clinical oncology
|January 26, 2024
概括
美国食品和药物管理局批准了达布拉费尼布和特拉美替尼布用于BRAF V600E固体瘤. 本综述涵盖了BRAF抑制剂耐药性机制和新疗法,以改善患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 分子生物学分子生物学
- 药理学 药理学是指药理学的学科.
背景情况:
- 通过MAPK信号传递,BRAF突变驱动瘤生长.
- 针对性治疗,如达布拉费尼布 (BRAF 抑制剂) + 特拉美丁尼布 (MEK 抑制剂) 显示出有效性.
- 治疗耐药性是BRAF突变癌症的主要临床挑战.
研究的目的:
- 审查BRAF抑制剂耐药性的机制.
- 讨论新的治疗策略来克服耐药性.
- 为了突出治疗BRAF V600E突变固体瘤的进展.
主要方法:
- 对BRAF抑制剂的临床前和临床研究的综述.
- 对癌症中MAPK信号通路的分析.
- 检查BRAF突变癌症中耐药机制的研究.
主要成果:
- BRAF V600E突变激活了MAPK通路,促进了瘤发生.
- 达布拉费尼布加上特拉美丁尼布获得了FDA对特定BRAF V600E固体瘤的加速批准.
- 内在性,适应性和获得性耐药性限制长期患者益处.
结论:
- 了解耐药机制对于开发有效的治疗方法至关重要.
- 新型BRAF抑制剂和组合疗法旨在改善结果.
- 针对性治疗对BRAF突变癌症患者来说是有前途的.
相关概念视频
Targeted Cancer Therapies
7.6K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.6K
Combination Therapies and Personalized Medicine
4.9K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.9K
Abnormal Proliferation
4.5K
Under normal conditions, most adult cells remain in a non-proliferative state unless stimulated by internal or external factors to replace lost cells. Abnormal cell proliferation is a condition in which the cell's growth exceeds and is uncoordinated with normal cells. In such situations, cell division persists in the same excessive manner even after cessation of the stimuli, leading to persistent tumors. The tumor arises from the damaged cells that replicate to pass the damage to the...
4.5K
The Retinoblastoma Gene
4.1K
Tumor suppressor genes are normal genes that can slow down cell division, repair DNA mistakes, or program the cells for apoptosis in case of irreparable damage. Hence, they play an essential role in preventing the proliferation of damaged cells.
The first-ever tumor suppressor gene called Rb was identified in retinoblastoma - a rare eye tumor in children. In inherited forms of the disease, a child inherits one defective copy of the Rb gene, which predisposes them to retinoblastoma. However,...
The first-ever tumor suppressor gene called Rb was identified in retinoblastoma - a rare eye tumor in children. In inherited forms of the disease, a child inherits one defective copy of the Rb gene, which predisposes them to retinoblastoma. However,...
4.1K
mTOR Signaling and Cancer Progression
3.8K
The mammalian target of rapamycin or mTOR protein was discovered in 1994 due to its direct interaction with rapamycin. The protein gets its name from a yeast homolog called TOR. The mTOR protein complex in mammalian cells plays a major role in balancing anabolic processes such as the synthesis of proteins, lipids, and nucleotides and catabolic processes, such as autophagy in response to environmental cues, such as availability of nutrients and growth factors.
The mTOR pathway or the...
The mTOR pathway or the...
3.8K


