胆瘤向治疗:作用机制和抗药性
Haley Ellis1, Chiara Braconi2, Juan W Valle3
1Massachusetts General Hospital Cancer Center, Krantz Family Center for Cancer Research, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.
精准医学针对胆管癌的基因组改变,胆管癌是一种侵袭性的胆管癌症. 已批准和新兴疗法提供了新的治疗选择,但改善反应率和确定新的点仍然至关重要.
科学领域:
- 在瘤学瘤学.
- 基因组学就是基因组学.
- 精准医学是一门精准的医学.
背景情况:
- 胆管癌 (胆管癌) 是一种异构的恶性瘤.
- 标准治疗有局限性,但常见的基因组改变是可针对的.
研究的目的:
- 审查胆管癌向治疗的临床疗效和耐药性机制.
- 探索针对特定基因组变化的患者子集的精准医学策略.
主要方法:
- 对向治疗的临床疗效数据的审查.
- 从临床前模型和患者样本中分析反应和抗性的机制.
- 对正在进行的针对新型治疗点的临床试验进行审查.
主要成果:
- 美国食品和药物管理局批准的疗法针对IDH1突变,FGFR2融合,BRAF-V600E和HER2放大.
- 在KRAS,PRTM5和MDM2抑制的临床试验中看到有希望的结果.
- 响应和抵抗的机制正在被阐明.
结论:
- 精准医学正在改变针对可向基因组改变的子集的胆管癌治疗.
- 需要进一步改善响应率和持续时间.
- 识别新目标和克服阻力是未来的关键方向.
更多相关视频
00:06An Oncogenic Hepatocyte-Induced Orthotopic Mouse Model of Hepatocellular Cancer Arising in the Setting of Hepatic Inflammation and Fibrosis
Published on: September 12, 2019
12:24A Three-Dimensional Spheroid Model to Investigate the Tumor-Stromal Interaction in Hepatocellular Carcinoma
Published on: September 30, 2021
相关概念视频
Targeted Cancer Therapies
There are several types of targeted therapies against...
Treatment Resistant Cancers
Combination Therapies and Personalized Medicine
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...
Inhibition of Cdk Activity
Tumor Immunotherapy
Cancer Therapies
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
