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膀胱癌治疗中的新兴分子疗法

英文原题:Emerging molecular therapies in the treatment of bladder cancer.

PubMed 2024/08/29(内容时间) Explor Target Antitumor Ther

研究概要

这些现代治疗方法为膀胱癌患者提供了潜在有希望的结果,有可能提高缓解率和生存率。

中文摘要

膀胱癌是男性中主要的癌症类型之一。晚期膀胱癌经淋巴系统全身播散后治疗的复杂性,凸显了在癌症分期中尽早调控无病进展的重要性。由于当前疗法仍依赖既往标准方案,如铂类化疗药物和卡介苗免疫调节,研究人员和临床医生正在寻找靶向疗法,以在进展早期从源头阻止膀胱癌。针对膀胱癌细胞系中上调的特定特征的新一代分子疗法正在兴起,这可能为临床医生和患者提供对疾病进展更好的控制。在此,我们讨论多种新兴疗法,包括程序性细胞死亡蛋白1(PD-1)/程序性死亡配体1(PD-L1)通路的免疫检查点抑制剂、抗体-药物偶联物、磷脂酰肌醇3-激酶(PI3K)/蛋白激酶B(AKT)/哺乳动物雷帕霉素靶蛋白(mTOR)细胞增殖通路的调控、CAR-T 细胞疗法以及成纤维细胞生长因子受体靶向治疗。总之,这些现代治疗为膀胱癌患者提供了潜在有希望的结果,并有可能提高缓解率和生存率。

展开英文摘要原文

Bladder cancer is a leading cancer type in men. The complexity of treatment in late-stage bladder cancer after systemic spread through the lymphatic system highlights the importance of modulating disease-free progression as early as possible in cancer staging. With current therapies relying on previous standards, such as platinum-based chemotherapeutics and immunomodulation with Bacillus Calmette-Guerin, researchers, and clinicians are looking for targeted therapies to stop bladder cancer at its source early in progression. A new era of molecular therapies that target specific features upregulated in bladder cancer cell lines is surfacing, which may be able to provide clinicians and patients with better control of disease progression. Here, we discuss multiple emerging therapies including immune checkpoint inhibitors of the programmed cell death protein 1 (PD-1)/programmed death ligand 1 (PD-L1) pathway, antibody-drug conjugates, modulation of the phosphoinositide 3-kinase (PI3K)/protein kinase B (AKT)/mammalian target of rapamycin (mTOR) cell proliferation pathway, chimeric antigen receptor T-cell therapy, and fibroblast growth factor receptor targeting. Together, these modern treatments provide potentially promising results for bladder cancer patients with the possibility of increasing remission and survival rates.

论文信息

作者
Bell SD、Quinn AE、Spitzer TD、Voss BB、Wakefield MR、Fang Y
单位
Department of Microbiology, Immunology & Pathology, Des Moines University, West Des Moines, IA 50266, USA.United States
文献类型
综述
期刊
Exploration of targeted anti-tumor therapy2024
原文标识
PubMed 39351439 · DOI 10.37349/etat.2024.00267