[Childhood brain tumors: diagnosis and therapy - comprehensive genomic profiling].

Magyar onkologia Pub Date : 2023-12-18 Epub Date: 2023-10-30
Edit Brückner, Gábor Bedics, Lilla Reiniger, Hajnalka Rajnai, Zsuzsanna Jakab, Csaba Bödör, Bálint Scheich, Miklós Garami
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Abstract

With the advancement of molecular oncology, numerous new opportunities are available for the effective and efficient treatment of patients diagnosed with childhood brain tumors. This includes gene panel analysis aiding personalized treatment used in clinical trials, and the application of targeted therapy independent of tissue type (tumor agnostic therapy). Most personalized therapies inhibit certain kinases. In our review, we present the modern pathological diagnosis of childhood brain tumors, as well as the complex intracellular regulation of signal transduction pathways important from the point of view of clinical practice, and we describe their further targets defined on the basis of pharmacological characteristics of the pathway, based on international and our own results. Despite common mutations affecting kinases, personalized therapy is not available in many types of tumors. Through the example of childhood brain tumors, we demonstrate the expected future therapeutic significance of tyrosine kinases.

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[儿童脑肿瘤:诊断与治疗--全面基因组剖析]。
随着分子肿瘤学的发展,为有效治疗儿童脑肿瘤患者提供了许多新的机会。这包括在临床试验中用于辅助个性化治疗的基因面板分析,以及独立于组织类型的靶向治疗(肿瘤不可知疗法)的应用。大多数个性化疗法都会抑制某些激酶。在我们的综述中,我们介绍了儿童脑肿瘤的现代病理诊断,以及从临床实践角度来看非常重要的信号转导通路的复杂胞内调控,并根据国际研究和我们自己的研究成果,描述了根据通路的药理学特征确定的进一步靶点。尽管影响激酶的突变很常见,但在许多类型的肿瘤中都无法进行个性化治疗。通过儿童脑肿瘤的例子,我们展示了酪氨酸激酶未来的预期治疗意义。
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