Molecular Targeted Therapy

分子靶向治疗
  • 文章类型: Journal Article
    骨癌疼痛(BCP)深刻影响患者的生活质量,需要更有效的疼痛管理策略。本系统综述的目的是研究炎性细胞因子作为BCP潜在分子靶标的作用。在PubMed中对骨癌疼痛研究的动物啮齿动物模型进行了系统的搜索,Scopus,和WebofScience。使用SYRCLERoB工具评估方法学质量和偏倚风险。25条符合纳入标准,包括研究与BCP中炎症细胞因子相关的分子靶标的动物研究。报告了低至中度的偏倚风险。在23份手稿中的关键发现揭示了上调的经典促炎细胞因子(TNF-α,IL-1β,IL-6,IL-17,IL-18,IL-33)和趋化因子在脊髓,导水管周围灰色,和背根神经节.针对这些细胞因子的干预一致地减轻疼痛行为。此外,已经证明神经胶质细胞,由于它们参与炎症细胞因子的释放,成为BCP的重要贡献者。本系统综述强调了炎性细胞因子作为缓解BCP的潜在分子靶标的重要性。它强调有针对性的干预措施的承诺,并倡导进一步研究,以将这些发现转化为有效的治疗策略。最终,这种方法有可能提高患者的生活质量。
    Bone cancer pain (BCP) profoundly impacts patient\'s quality of life, demanding more effective pain management strategies. The aim of this systematic review was to investigate the role of inflammatory cytokines as potential molecular targets in BCP. A systematic search for animal rodent models of bone cancer pain studies was conducted in PubMed, Scopus, and Web of Science. Methodological quality and risk of bias were assessed using the SYRCLE RoB tool. Twenty-five articles met the inclusion criteria, comprising animal studies investigating molecular targets related to inflammatory cytokines in BCP. A low to moderate risk of bias was reported. Key findings in 23 manuscripts revealed upregulated classic pro-inflammatory cytokines (TNF-α, IL-1β, IL-6, IL-17, IL-18, IL-33) and chemokines in the spinal cord, periaqueductal gray, and dorsal root ganglia. Interventions targeting these cytokines consistently mitigated pain behaviors. Additionally, it was demonstrated that glial cells, due to their involvement in the release of inflammatory cytokines, emerged as significant contributors to BCP. This systematic review underscores the significance of inflammatory cytokines as potential molecular targets for alleviating BCP. It emphasizes the promise of targeted interventions and advocates for further research to translate these findings into effective therapeutic strategies. Ultimately, this approach holds the potential to enhance the patient\'s quality of life.
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  • 文章类型: Journal Article
    Ferroptosis,一种受调节的细胞死亡形式,与铁依赖性脂质过氧化密切相关。最近的证据强烈支持铁凋亡的诱导作为治疗对常规疗法有抗性的癌症的有希望的策略。铁凋亡调节的关键参与者是铁凋亡抑制蛋白1(FSP1),其通过促进辅酶Q10的抗氧化剂形式的产生来促进癌细胞抗性。值得注意的是,FSP1独立于谷胱甘肽(GSH)和谷胱甘肽过氧化物酶-4途径赋予铁死亡抗性。因此,靶向FSP1以削弱其对铁凋亡的抑制作用可能是治疗难治性癌症的可行策略。这篇综述旨在阐明铁死亡的分子机制,FSP1抑制铁凋亡的具体途径以及FSP1抑制剂对癌细胞的影响。
    Ferroptosis, a regulated form of cell death, is intricately linked to iron‑dependent lipid peroxidation. Recent evidence strongly supports the induction of ferroptosis as a promising strategy for treating cancers resistant to conventional therapies. A key player in ferroptosis regulation is ferroptosis suppressor protein 1 (FSP1), which promotes cancer cell resistance by promoting the production of the antioxidant form of coenzyme Q10. Of note, FSP1 confers resistance to ferroptosis independently of the glutathione (GSH) and glutathione peroxidase‑4 pathway. Therefore, targeting FSP1 to weaken its inhibition of ferroptosis may be a viable strategy for treating refractory cancer. This review aims to clarify the molecular mechanisms underlying ferroptosis, the specific pathway by which FSP1 suppresses ferroptosis and the effect of FSP1 inhibitors on cancer cells.
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  • 文章类型: Journal Article
    Tau蛋白是一种微管相关蛋白,广泛分布于中枢神经系统,维持和调节神经元的形态和功能。Tau蛋白在神经退行性疾病中异常聚集并形成神经原纤维缠结,破坏神经元的结构和功能,导致神经元死亡,这引发了神经系统疾病的开始和进展。tau蛋白在神经退行性疾病中的聚集与翻译后修饰有关,这可能会影响亲水性,空间构象,和tau蛋白的稳定性,促进tau蛋白聚集和神经原纤维缠结的形成。因此,研究tau蛋白在神经退行性疾病中的作用和异常聚集的机制对于理解神经退行性疾病的机制和寻找治疗方法具有重要意义。这篇综述描述了tau蛋白促进神经退行性疾病的可能机制。tau蛋白翻译后修饰及相关影响因素,以及与tau蛋白相关的药物发现和开发的现状,这可能有助于开发新的治疗方法来缓解或治疗神经退行性疾病。
    Tau protein is a microtubule-associated protein that is widely distributed in the central nervous system and maintains and regulates neuronal morphology and function. Tau protein aggregates abnormally and forms neurofibrillary tangles in neurodegenerative diseases, disrupting the structure and function of neurons and leading to neuronal death, which triggers the initiation and progression of neurological disorders. The aggregation of tau protein in neurodegenerative diseases is associated with post-translational modifications, which may affect the hydrophilicity, spatial conformation, and stability of tau protein, promoting tau protein aggregation and the formation of neurofibrillary tangles. Therefore, studying the role of tau protein in neurodegenerative diseases and the mechanism of aberrant aggregation is important for understanding the mechanism of neurodegenerative diseases and finding therapeutic approaches. This review describes the possible mechanisms by which tau protein promotes neurodegenerative diseases, the post-translational modifications of tau protein and associated influencing factors, and the current status of drug discovery and development related to tau protein, which may contribute to the development of new therapeutic approaches to alleviate or treat neurodegenerative diseases.
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  • 文章类型: Journal Article
    严格调节细胞周期以确保受控的细胞增殖。细胞周期机制的失调是导致不受控制的生长的癌症的标志。这篇综述全面分析了细胞周期的关键分子调节因子,以及它们在突变或过表达时如何促进癌变。它专注于细胞周期蛋白,细胞周期蛋白依赖性激酶(CDKs),CDK抑制剂,检查点激酶,和有丝分裂调节剂作为治疗靶标。有希望的策略包括CDK4/6抑制剂,如palbociclib,ribociclib,和abemaciclib用于乳腺癌治疗。其他可能的靶标包括后期促进复合物/环体(APC/C),Skp2、p21和极光激酶抑制剂。然而,到目前为止,耐药性的挑战限制了临床成功。未来的努力应该集中在组合疗法上,下一代抑制剂,和用于患者选择的生物标志物。靶向细胞周期是有希望的,但进一步优化是必要的,以充分利用它作为跨不同恶性肿瘤的抗癌策略。
    The cell cycle is tightly regulated to ensure controlled cell proliferation. Dysregulation of the cell cycle machinery is a hallmark of cancer that leads to unchecked growth. This review comprehensively analyzes key molecular regulators of the cell cycle and how they contribute to carcinogenesis when mutated or overexpressed. It focuses on cyclins, cyclin-dependent kinases (CDKs), CDK inhibitors, checkpoint kinases, and mitotic regulators as therapeutic targets. Promising strategies include CDK4/6 inhibitors like palbociclib, ribociclib, and abemaciclib for breast cancer treatment. Other possible targets include the anaphase-promoting complex/cyclosome (APC/C), Skp2, p21, and aurora kinase inhibitors. However, challenges with resistance have limited clinical successes so far. Future efforts should focus on combinatorial therapies, next-generation inhibitors, and biomarkers for patient selection. Targeting the cell cycle holds promise but further optimization is necessary to fully exploit it as an anti-cancer strategy across diverse malignancies.
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  • 文章类型: Journal Article
    据报道,PIM激酶(PIM-1,PIM-2和PIM-3)在控制细胞存活的信号级联中起关键作用,扩散,和差异化。这些激酶的过度表达导致血液恶性肿瘤,如弥漫性大B细胞淋巴瘤(DLBCL),多发性骨髓瘤,白血病,淋巴瘤和前列腺癌等.PIM激酶作为生物标志物和潜在的治疗靶标已显示出对精确癌症治疗的希望。选择性PIM-1、PIM-2和/或PIM-3同种型抑制剂已经在患有晚期癌症(包括复发性/难治性癌症)的患者中显示出显著结果。
    关于PIM激酶(PIM-1,PIM-2和PIM-3)在肿瘤发生中的综合文献综述,获得专利的PIM激酶抑制剂(2016年至今),和他们的药理学和结构见解已被强调。
    最近,PIM激酶即.作为治疗靶标的PIM-1、PIM-2和PIM-3(丝氨酸/苏氨酸蛋白激酶家族的成员)已经在肿瘤学特别是血液恶性肿瘤中引起了相当大的兴趣。专利的PIM激酶抑制剂由杂环(稠合)环结构(如吲哚)组成,吡啶,吡嗪,吡唑,吖嗪,哌嗪,噻唑,恶二唑,喹啉,三唑并吡啶,吡唑并吡啶,咪唑并吡啶嗪,恶二唑-硫酮,吡唑并嘧啶,三唑并吡啶嗪,咪唑并吡啶嗪,吡唑并喹唑啉和吡唑并吡啶等。在癌症化疗中显示出有希望的结果。
    UNASSIGNED: PIM Kinases (PIM-1, PIM-2, and PIM-3) have been reported to play crucial role in signaling cascades that govern cell survival, proliferation, and differentiation. Over-expression of these kinases leads to hematological malignancies such as diffuse large B cell lymphomas (DLBCL), multiple myeloma, leukemia, lymphoma and prostate cancer etc. PIM kinases as biomarkers and potential therapeutic targets have shown promise toward precision cancer therapy. The selective PIM-1, PIM-2, and/or PIM-3 isoform inhibitors have shown significant results in patients with advanced stages of cancer including relapsed/refractory cancer.
    UNASSIGNED: A comprehensive literature review of PIM Kinases (PIM-1, PIM-2, and PIM-3) in oncogenesis, the patented PIM kinase inhibitors (2016-Present), and their pharmacological and structural insights have been highlighted.
    UNASSIGNED: Recently, PIM kinases viz. PIM-1, PIM-2, and PIM-3 (members of the serine/threonine protein kinase family) as therapeutic targets have attracted considerable interest in oncology especially in hematological malignancies. The patented PIM kinase inhibitors comprised of heterocyclic (fused)ring structure(s) like indole, pyridine, pyrazine, pyrazole, pyridazine, piperazine, thiazole, oxadiazole, quinoline, triazolo-pyridine, pyrazolo-pyridine, imidazo-pyridazine, oxadiazole-thione, pyrazolo-pyrimidine, triazolo-pyridazine, imidazo-pyridazine, pyrazolo-quinazoline and pyrazolo-pyridine etc. showed promising results in cancer chemotherapy.
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  • 文章类型: Journal Article
    乳腺癌是全球最常见的癌症。大约70%的乳腺癌表达雌激素受体(ER),能够拮抗和降解ER(SERD)或共价结合并拮抗ER(SERCAs)的分子处于努力为患者带来更好治疗的最前沿。
    这篇综述总结了在2021年7月至2023年12月期间使用SciFinder鉴定的声称雌激素受体降解物(SERD)和共价拮抗剂(SERCA)的专利申请。对来自32个不同申请人的91项新专利申请进行了分层评估,分为酸性SERD,基本的SERD,SERCA和其他降解器。
    氟维司群在ER+乳腺癌治疗中的广泛采用继续刺激对口服生物可利用的SERD和SERCA的研究。许多分子已经进入临床开发,虽然有些已经停产,一组潜在的新疗法产生了令人鼓舞的疗效和安全性数据.值得注意的是,口头SERD的第一个例子,eelacstrant,现在已经被FDA和EMA批准了,进一步鼓励这类靶向治疗。
    UNASSIGNED: Breast cancer is the most frequently diagnosed cancer worldwide. With around 70% of breast cancers expressing the estrogen receptor (ER), molecules capable of antagonizing and degrading ER (SERDs) or covalently binding to and antagonizing ER (SERCAs) are at the forefront of efforts to bring better treatments to patients.
    UNASSIGNED: This review summarizes patent applications that claim estrogen receptor degraders (SERDs) and covalent antagonists (SERCAs) identified using SciFinder between the period July 2021 to December 2023. A total of 91 new patent applications from 32 different applicants are evaluated with stratification into acidic SERDs, basic SERDs, SERCAs and miscellaneous degraders.
    UNASSIGNED: The widespread adoption of fulvestrant in the treatment of ER+ breast cancer continues to stimulate research into orally bioavailable SERDs and SERCAs. A number of molecules have entered clinical development and, although some have been discontinued, a cohort of potential new treatments have generated encouraging efficacy and safety data. Notably, the first example of an oral SERD, elacestrant, has now been approved by the FDA and EMA, providing further encouragement for this class of targeted therapies.
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  • 文章类型: Journal Article
    中风是一种严重的神经系统疾病,与高发病率和死亡率有关。潜在的病理过程是复杂的。Ferroptosis在中风的进展和治疗中发挥重要作用。众所周知,铁死亡是一种程序性细胞死亡,不同于其他形式或类型的细胞死亡。铁死亡的过程涉及与中风发展固有机制相互作用的多个信号通路和调节机制。已显示铁凋亡的诱导剂和抑制剂在该细胞死亡过程的开始中起作用。此外,已经表明,干扰铁中毒会影响中风的发生,这表明靶向铁性凋亡可能为治疗卒中患者提供一种有希望的治疗方法。因此,本综述旨在总结在脑卒中患者中使用铁性凋亡的治疗干预措施作为治疗目标方面取得的最新进展。概述了近年来研究的相关途径和分子机制,强调铁凋亡的诱导剂和抑制剂在中风中的作用。此外,总结了各类中药的干预潜力。总之,本综述全面概述了铁凋亡相关途径在中风中提供的潜在治疗靶点,提供了关于如何利用铁性凋亡治疗中风的新见解。
    Stroke is a severe neurological disease that is associated with high rates of morbidity and mortality, and the underlying pathological processes are complex. Ferroptosis fulfills a significant role in the progression and treatment of stroke. It is well established that ferroptosis is a type of programmed cell death that is distinct from other forms or types of cell death. The process of ferroptosis involves multiple signaling pathways and regulatory mechanisms that interact with mechanisms inherent to stroke development. Inducers and inhibitors of ferroptosis have been shown to exert a role in the onset of this cell death process. Furthermore, it has been shown that interfering with ferroptosis affects the occurrence of stroke, indicating that targeting ferroptosis may offer a promising therapeutic approach for treating patients of stroke. Hence, the present review aimed to summarize the latest progress that has been made in terms of using therapeutic interventions for ferroptosis as treatment targets in cases of stroke. It provides an overview of the relevant pathways and molecular mechanisms that have been investigated in recent years, highlighting the roles of inducers and inhibitors of ferroptosis in stroke. Additionally, the intervention potential of various types of Traditional Chinese Medicine is also summarized. In conclusion, the present review provides a comprehensive overview of the potential therapeutic targets afforded by ferroptosis‑associated pathways in stroke, offering new insights into how ferroptosis may be exploited in the treatment of stroke.
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  • 文章类型: Journal Article
    非小细胞肺癌(NSCLC)患者的预后,占所有肺癌85%的癌症类型,较差,5年生存率为19%,主要是因为NSCLC在晚期和转移阶段被诊断。尽管最近的治疗进展,约50%的NSCLC患者会发生脑转移(BMs)。对于有症状的患者和单个脑转移患者,单独进行手术BM治疗,或与立体定向放射治疗(RT)相结合,用于不适合手术或表现为小于四个直径范围为5-30mm的脑部病变的患者,或全脑RT可以用于许多或大型BM。然而,辐射抗性(RR)总是阻止RT的作用。已经描述了RR的几种机制,包括缺氧,细胞应激,癌症干细胞的存在,细胞凋亡和/或自噬失调,细胞周期失调,细胞代谢的变化,上皮-间质转化,程序性细胞死亡配体1的过表达和激活几种信号通路;然而,Hippo信号通路在RR中的作用尚不清楚。非小细胞肺癌中Hippo途径的失调赋予转移特性,和针对该途径的抑制剂目前正在开发中。因此,必须评估抑制Hippo途径的效果,特别是效应基因相关蛋白-1,对源自肺癌的脑转移。
    The prognosis for patients with non‑small cell lung cancer (NSCLC), a cancer type which represents 85% of all lung cancers, is poor with a 5‑year survival rate of 19%, mainly because NSCLC is diagnosed at an advanced and metastatic stage. Despite recent therapeutic advancements, ~50% of patients with NSCLC will develop brain metastases (BMs). Either surgical BM treatment alone for symptomatic patients and patients with single cerebral metastases, or in combination with stereotactic radiotherapy (RT) for patients who are not suitable for surgery or presenting with fewer than four cerebral lesions with a diameter range of 5‑30 mm, or whole‑brain RT for numerous or large BMs can be administered. However, radioresistance (RR) invariably prevents the action of RT. Several mechanisms of RR have been described including hypoxia, cellular stress, presence of cancer stem cells, dysregulation of apoptosis and/or autophagy, dysregulation of the cell cycle, changes in cellular metabolism, epithelial‑to‑mesenchymal transition, overexpression of programmed cell death‑ligand 1 and activation several signaling pathways; however, the role of the Hippo signaling pathway in RR is unclear. Dysregulation of the Hippo pathway in NSCLC confers metastatic properties, and inhibitors targeting this pathway are currently in development. It is therefore essential to evaluate the effect of inhibiting the Hippo pathway, particularly the effector yes‑associated protein‑1, on cerebral metastases originating from lung cancer.
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  • 文章类型: Journal Article
    MicroRNAs(miRNA)是一组非编码RNA,在转录后基因表达中发挥主要调控功能。越来越多的证据表明,miRNAs可以通过调节不同的靶基因或通路来促进或抑制肿瘤发生,并可能参与肿瘤的发生。miR‑409‑3p在多种恶性肿瘤中失调。它在许多细胞生物学过程中起着重要作用,如细胞增殖,凋亡,迁移,入侵,自噬,血管生成和糖酵解。此外,研究表明,miR-409-3p有望成为一种非侵入性生物标志物。确定miR-409-3p介导的肿瘤进展的分子机制将有助于研究基于miR-409-3p的人类癌症靶向治疗。本综述全面总结了最近发表的关于miR‑409‑3p的文献,关注miR-409-3p在各种类型癌症中的调控和功能,并讨论了miR-409-3p的临床意义,为癌症的诊断和治疗提供新的见解。
    MicroRNAs (miRNAs) are a group of non‑coding RNAs that exert master regulatory functions in post‑-transcriptional gene expression. Accumulating evidence shows that miRNAs can either promote or suppress tumorigenesis by regulating different target genes or pathways and may be involved in the occurrence of carcinoma. miR‑409‑3p is dysregulated in a variety of malignant cancers. It plays a fundamental role in numerous cellular biological processes, such as cell proliferation, apoptosis, migration, invasion, autophagy, angiogenesis and glycolysis. In addition, studies have shown that miR‑409‑3p is expected to become a non‑invasive biomarker. Identifying the molecular mechanisms underlying miR‑409‑3p‑mediated tumor progression will help investigate miR‑409‑3p‑based targeted therapy for human cancers. The present review comprehensively summarized the recently published literature on miR‑409‑3p, with a focus on the regulation and function of miR‑409‑3p in various types of cancer, and discussed the clinical implications of miR‑409‑3p, providing new insight for the diagnosis and treatment of cancers.
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  • 文章类型: Journal Article
    目的:Stevens-Johnson综合征/中毒性表皮坏死松解症(SJS/TEN)是严重的皮肤药物不良反应(SCAR),其特征是广泛的上皮脱离和起泡,影响皮肤和粘膜。迄今为止,SJS/TEN的治疗干预措施侧重于使用大剂量皮质类固醇或静脉注射免疫球蛋白G(IgG)系统抑制炎症反应,例如。目前不存在针对SJS/TEN的靶向疗法。
    结果:尽管我们对SJS/TEN发病机制的认识从免疫学和皮肤病学的角度都有了进展,这些知识尚未转化为新的靶向疗法的开发。
    结论:对SJS/TEN的更大的机械见解可能会为识别或重新利用靶向疗法以限制甚至预防表皮损伤和起泡打开新的机会。
    OBJECTIVE: Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN) are severe cutaneous adverse drug reactions (SCARs) characterized by widespread epithelial detachment and blistering, which affects the skin and mucocutaneous membranes. To date, therapeutic interventions for SJS/TEN have focused on systematic suppression of the inflammatory response using high-dose corticosteroids or intravenous immunoglobulin G (IgG), for example. No targeted therapies for SJS/TEN currently exist.
    RESULTS: Though our understanding of the pathogenesis of SJS/TEN has advanced from both an immunological and dermatological perspective, this knowledge is yet to translate into the development of new targeted therapies.
    CONCLUSIONS: Greater mechanistic insight into SJS/TEN would potentially unlock new opportunities for identifying or repurposing targeted therapies to limit or even prevent epidermal injury and blistering.
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