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Circ_0070203 Promotes Epithelial-mesenchymal Transition in Ovarian Serous Cystadenocarcinoma through miR-370-3p/TGFβR2 Axis Circ_0070203通过miR-370-3p/ tgf - β r2轴促进卵巢浆液性囊腺癌上皮-间质转化
IF 2.8 4区 医学 Q3 ONCOLOGY Pub Date : 2023-04-11 DOI: 10.2174/1574892818666230328124804
Qiong Tang, Huiting Wen, Haoyue Hu, Xiaoli Chen, Shuxiu Xu, Li Fan, Longyang Liu, Jing Li
Introduction: Circular RNAs (circRNAs) are important biological molecules associated with the pathogenesis of multiple cancers. Objective: This work aimed to investigate the function and molecular mechanism of circ_0070203 in high-grade serous ovarian cystadenocarcinoma (HGSOC). Methods: circRNA microarray was conducted to detect the circ_0070203 expression in HGSOC tissues. Bioinformatics analysis was used to find the binding sites between circ_0070203, miR- 370-3p and TGFβR2. Real-time quantitative reverse transcription PCR (RT-qPCR) was executed to detect the expressions of circ_0070203, miR-370-3p and TGFβR2 in HGSOC tissues and SKOV3 cells. Dual-luciferase reporter gene assay was used to validate the relationships between miR-370-3p and circ_0070203 or TGFβR2. Besides, transwell assays were conducted to assess the migrative, invasive abilities of ovarian cancer (OC) cells. Western blotting was adopted to detect the expression of epithelial-mesenchymal transition (EMT)-related proteins. The related patents were also studied during the research. Results: Circ_0070203 and TGFβR2 were upregulated, while miR-370-3p was downregulated in FIGO stage Ⅲ-Ⅳ HGSOC tissues and SKOV-3 cell lines. circ_0070203 overexpression changed the expression of other EMT-related proteins and enhanced the migrative, invasive abilities of OC cells, while silencing circ_0070203 worked oppositely. Mechanistically, circ_0070203 could upregulate TGFβR2 expression in OC cells via sponging miR-370-3p. Conclusion: Circ_0070203 could promote the epithelial-mesenchymal transition, invasion, and metastasis of HGSOC via regulating the miR-370-3p/TGFβR2 axis. Our findings provided a potential biomarker for HGSOC therapy.
环状rna (circRNAs)是与多种癌症发病机制相关的重要生物分子。目的:探讨circ_0070203在高级别浆液性卵巢囊腺癌(HGSOC)中的作用及分子机制。方法:采用circRNA芯片检测circ_0070203在HGSOC组织中的表达。利用生物信息学分析找到circ_0070203、miR- 370-3p和tgf - β r2之间的结合位点。采用实时定量反转录PCR (RT-qPCR)检测circ_0070203、miR-370-3p和tgf - β r2在HGSOC组织和SKOV3细胞中的表达。采用双荧光素酶报告基因检测验证miR-370-3p与circ_0070203或tgf - β r2之间的关系。此外,还进行了transwell试验来评估卵巢癌(OC)细胞的迁移和侵袭能力。采用Western blotting检测上皮-间质转化(epithelial-mesenchymal transition, EMT)相关蛋白的表达。研究过程中还对相关专利进行了研究。结果:Circ_0070203和TGFβR2在FIGO期Ⅲ-ⅣHGSOC组织和SKOV-3细胞系中表达上调,miR-370-3p表达下调。过表达circ_0070203改变了其他emt相关蛋白的表达,增强了OC细胞的迁移和侵袭能力,而沉默circ_0070203则相反。机制上,circ_0070203可通过海绵miR-370-3p上调OC细胞中tgf - β r2的表达。结论:Circ_0070203可通过调节miR-370-3p/ tgf - β r2轴促进HGSOC的上皮-间质转化、侵袭转移。我们的发现为HGSOC治疗提供了一个潜在的生物标志物。
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引用次数: 0
Preclinical Effects Of Melatonin On The Development Of Ehrlich's Tumor: A Biochemical, Cognitive, And Molecular Approach. 褪黑激素对艾氏肿瘤发生的临床前影响:生化、认知和分子方法。
IF 2.8 4区 医学 Q3 ONCOLOGY Pub Date : 2023-02-23 DOI: 10.2174/1574892818666230223160858
Ivan Pereira Lopes, Bianca Souza Bagatela, Andrey Pereira Lopes, Elaine Ferreira Silveira, Giuliana Petri, José Francisco Ramos Santos, Matheus Moreira Perez, Glaucia Luciano da Veiga, Beatriz da Costa Aguiar Alves, Fábio Ferreira Perazzo, David Feder, Fernando Luiz Affonso Fonseca

Background: It has already been shown that melatonin is an antitumoral molecule that affects malignant cells via some mechanisms. The benefit played by this hormone on cancer is due to its antioxidant effects.

Objective: This study aimed to evaluate the preclinical effects of melatonin in mice with the Ehrlich ascites tumor.

Methods: Twenty Balb/ c male mice with Ehrlich tumor were treated with different melatonin doses. Their inflammatory and oxidative stress were accessed by gene expression. Hepatotoxicity and hematological parameters were also evaluated through biochemical analyses. Animal welfare was analysed weekly from the categories guided by the NC3Rs.

Results: Gene expression analyses have shown that only Tnfα and Sod1 were expressed in all groups studied. Only the M-3 group showed increased Tnfα expression compared to the control. All groups treated with melatonin showed decreased Sod1 expression compared to the control. No signs of hepatotoxicity were caused by any of the melatonin doses used in the treatment.

Conclusion: In animals with Ehrlich´s tumor treated with melatonin, a decrease in oxidative stress, an amelioration in welfare and in cognitive tasks could be observed, even if the treatment has not reduced the size of the tumor itself. In parallel with the already patented use of melatonin in the treatment of sleep disorders or chronic kidney disease, our results propose its use to improve the general well-being of breast cancer patients.

背景:已有研究表明,褪黑激素是一种抗肿瘤分子,可通过某些机制影响恶性细胞。这种激素对癌症的益处在于其抗氧化作用:本研究旨在评估褪黑激素对艾氏腹水瘤小鼠的临床前效应:方法:用不同剂量的褪黑激素治疗20只患有艾氏腹水瘤的Balb/ c雄性小鼠。通过基因表达检测小鼠的炎症和氧化应激反应。还通过生化分析评估了肝毒性和血液学参数。每周根据 NC3Rs 的分类对动物福利进行分析:基因表达分析表明,所有研究组中只有 Tnfα 和 Sod1 有表达。与对照组相比,只有 M-3 组的 Tnfα 表达量有所增加。与对照组相比,用褪黑素治疗的所有组都显示出 Sod1 表达下降。任何剂量的褪黑激素治疗均未引起肝中毒症状:在使用褪黑激素治疗艾氏瘤的动物中,可以观察到氧化应激的减少、福利和认知任务的改善,即使治疗并没有减少肿瘤本身的大小。褪黑素在治疗睡眠障碍或慢性肾病方面已经获得了专利,与此同时,我们的研究结果还建议使用褪黑素来改善乳腺癌患者的总体健康状况。
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引用次数: 0
Patent Selections 专利的选择
4区 医学 Q3 ONCOLOGY Pub Date : 2023-02-01 DOI: 10.2174/157489281801221017111423
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引用次数: 0
Meet the Editorial Board Member 与编辑委员会成员见面
4区 医学 Q3 ONCOLOGY Pub Date : 2023-02-01 DOI: 10.2174/157489281801221017095113
Xi Ming Yuan
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引用次数: 0
Targeting ferroptosis as a new approach for radiation protection and mitigation 针对铁下垂作为辐射防护和缓解的新途径
IF 2.8 4区 医学 Q3 ONCOLOGY Pub Date : 2023-01-19 DOI: 10.2174/1574892818666230119153247
Soghra Farzipour, Z. Shaghaghi, A. Salari, Fatemeh Jalali, M. Alvandi, Nasim Zarei polgardani
Radiation-induced normal cell toxicity (RINCT) is a major factor to consider while treating any ailment with radiotherapy. Clinical irradiation of tumors necessitates an understanding of the potential efficacy of radiation protective agents in reducing radiation damage to healthy tissues and their effects on tumor tissue radiosensitivity. Ferroptosis is a relatively new form of iron-dependent cell death that has been linked to a variety of disease pathologies. The key mediators of ferroptosis have been identified as lipid peroxidation and iron metabolism. Lipid peroxidation is the result of a reaction between reactive oxygen (ROS) and reactive nitrogen species (RNS) with phosphatidylethanolamine-containing polyunsaturated fatty acids (PUFAs). Ferroptosis inhibitors have been demonstrated to have anti-inflammatory effects in animal models of disease. It was recently shown that ionizing radiation (IR) generates severe ferroptosis, a critical component of RT-mediated normal cell toxicity. These findings support the use of ferroptosis inhibitor treatments for the treatment of radiation normal cell toxicity. Targeting lipid metabolic substrates and controlling ferroptosis by radiation could reduce toxicity and improve clinical outcomes. In this study, we address the relationships between radiotherapy and various types of radiation-induced cell death, and we discuss the interactions between ferroptosis and other kinds of controlled cell death generated by radiotherapy, and we investigate combination treatment options targeting ferroptosis in radiotherapy. This review will be a foundation for future research on ferroptosis in radiotherapy. Additionally, the relevant patents on ferroptosis inhibitors with various therapeutic potentials have been discussed.
放射诱导的正常细胞毒性(RINCT)是放射治疗任何疾病时需要考虑的主要因素。肿瘤的临床照射需要了解辐射保护剂在减少对健康组织的辐射损伤方面的潜在功效及其对肿瘤组织放射敏感性的影响。脱铁症是一种相对较新的铁依赖性细胞死亡形式,与多种疾病病理有关。脱铁性贫血的主要介质是脂质过氧化和铁代谢。脂质过氧化是活性氧(ROS)和活性氮(RNS)与含有磷脂酰乙醇胺的多不饱和脂肪酸(PUFA)反应的结果。Ferroptosis抑制剂已被证明在疾病动物模型中具有抗炎作用。最近的研究表明,电离辐射(IR)会产生严重的脱铁性贫血,这是RT介导的正常细胞毒性的关键组成部分。这些发现支持使用脱铁抑制剂治疗辐射正常细胞毒性。靶向脂质代谢底物并通过辐射控制脱铁性贫血可以降低毒性并改善临床结果。在这项研究中,我们讨论了放射治疗与各种类型的辐射诱导的细胞死亡之间的关系,我们还讨论了脱铁性贫血与放射治疗产生的其他类型的控制性细胞死亡的相互作用,并研究了放射治疗中针对脱铁性肺病的联合治疗方案。这篇综述将为今后放射治疗脱铁性贫血的研究奠定基础。此外,还讨论了具有各种治疗潜力的脱铁性贫血抑制剂的相关专利。
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引用次数: 0
The Non-Hodgkin Lymphoma Treatment and Side Effects: A Systematic Review and Meta-Analysis. 非霍奇金淋巴瘤的治疗和副作用:系统回顾与元分析》。
IF 2.8 4区 医学 Q3 ONCOLOGY Pub Date : 2023-01-17 DOI: 10.2174/1574892818666230117151757
Alice Barros Câmara, Igor Augusto Brandão

Objective: This paper aims to review studies regarding side effects found during Non-Hodgkin Lymphoma treatment, to suggest the drug class most associated with these effects, as well as the most prevalent side effect grade.

Methods: This review is registered in PROSPERO (IDCRD42022295774) and followed the PICOS strategy and PRISMA guidelines. The search was carried out in the databases PubMed/MEDLINE, Scientific Electronic Library Online, and DOAJ. Medical Subject Headings Terms were used and quantitative studies with conclusive results regarding side effects during the non-Hodgkin lymphoma treatment were selected. Patent information was obtained from google patents.

Results: Monoclonal antibodies were the main drug class associated with side effects during NHL therapy. The combination of Rituximab (Rituxan®; patent EP1616572B) and iInotuzumab (Besponsa®; patent EP1504035B3) was associated with a higher incidence of thrombocytopenia (p<0.05), while the combination of Rituximab and Venetoclax (Venclexta®; patent CN107089981A) was associated with a higher incidence of neutropenia (p<0.05) when compared to Bendamustine combinations (Treanda ™; patent US20130253025A1). Meta-analysis revealed a high prevalence of grade 3-4 neutropenia and thrombocytopenia in men. Finally, Americans and Canadians experienced a higher prevalence of these side effects, when compared to others nationalities (p<0.05).

Conclusion: Patents regarding the use of monoclonal antibodies in NHL treatment were published in the last year. Monoclonal antibodies associated with neutropenia (grade 3-4) and thrombocytopenia, especially in North American men treated for NHL, and with an average age of 62 years demonstrated importance in this study.

目的:本文旨在回顾有关非霍奇金淋巴瘤治疗过程中发现的副作用的研究,提出与这些副作用最相关的药物类别以及最常见的副作用等级:本文旨在回顾有关非霍奇金淋巴瘤治疗过程中发现的副作用的研究,提出与这些副作用最相关的药物类别以及最普遍的副作用等级:本综述已在 PROSPERO (IDCRD42022295774) 上注册,并遵循了 PICOS 策略和 PRISMA 指南。在 PubMed/MEDLINE、Scientific Electronic Library Online 和 DOAJ 等数据库中进行了检索。检索中使用了医学主题词,并选择了与非霍奇金淋巴瘤治疗过程中副作用有关的定量研究。专利信息从谷歌专利中获取:单克隆抗体是与非霍奇金淋巴瘤治疗期间副作用相关的主要药物类别。利妥昔单抗(Rituximab,专利号:EP1616572B)和伊诺珠单抗(Besponsa,专利号:EP1504035B3)的联合用药与较高的血小板减少率(pConclusion)有关:去年,有关单克隆抗体用于治疗NHL的专利已经公布。单克隆抗体与中性粒细胞减少症(3-4级)和血小板减少症有关,特别是在北美男性NHL患者中,且平均年龄为62岁。
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引用次数: 0
Siah2 inhibitor and the metabolic antagonist Oxamate retard colon cancer progression and downregulate PD1 expression. Siah2 抑制剂和代谢拮抗剂 Oxamate 可延缓结肠癌的进展并下调 PD1 的表达。
IF 2.8 4区 医学 Q3 ONCOLOGY Pub Date : 2023-01-16 DOI: 10.2174/1574892818666230116142606
Sherin Zakaria, Samar Elsebaey, Shady Allam, Walied Abdo, Alaa El-Sisi

Background: Solid tumors such as colon cancer are characterized by rapid and sustained cell proliferation, which ultimately results in hypoxia, induction of hypoxia-inducible factor-1α (HIF-1α), and activation of glycolysis to promote tumor survival and immune evasion. We hypothesized that a combinatorial approach of menadione (MEN) as an indirect HIF-1α inhibitor and sodium oxamate (OX) as a glycolysis inhibitor may be a promising treatment strategy for colon cancer.

Objectives: We investigated the potential efficacy of this combination for promoting an antitumor immune response and suppressing tumor growth in a rat model of colon cancer.

Methods: Colon cancer was induced by once-weekly subcutaneous injection of 20 mg/kg dimethylhydrazine (DMH) for 16 weeks. Control rats received the vehicle and then no further treatment (negative control) or MEN plus OX for 4 weeks (drug control). Dimethylhydrazine-treated rats were then randomly allocated to four groups: DMH alone group and other groups treated with MEN, OX, and a combination of (MEN and OX) for 4 weeks. Serum samples were assayed for the tumor marker carbohydrate antigen (CA19.9), while expression levels of HIF-1α, caspase-3, PHD3, LDH, and PD1 were evaluated in colon tissue samples by immunoassay and qRT-PCR. Additionally, Ki-67 and Siah2 expression levels were examined by immunohistochemistry.

Results: The combination of MEN plus OX demonstrated a greater inhibitory effect on the expression levels of HIF-1α, Siah2, LDH, Ki-67, and PD1, and greater enhancement of caspase-3 and PHD3 expression in colon cancer tissues than either drug alone.

Conclusion: Simultaneous targeting of hypoxia and glycolysis pathways by a combination of MEN and OX could be a promising therapy for inhibiting colon cancer cell growth and promoting antitumor immunity [1].

背景:结肠癌等实体瘤的特点是细胞快速持续增殖,最终导致缺氧,诱导缺氧诱导因子-1α(HIF-1α),并激活糖酵解以促进肿瘤生存和免疫逃避。我们假设,将作为间接 HIF-1α 抑制剂的甲萘醌(MEN)和作为糖酵解抑制剂的草酸钠(OX)组合起来可能是一种很有前景的结肠癌治疗策略:我们研究了这一组合在大鼠结肠癌模型中促进抗肿瘤免疫反应和抑制肿瘤生长的潜在疗效:方法:通过每周一次皮下注射 20 毫克/千克二甲基肼(DMH)诱导大鼠患结肠癌,持续 16 周。对照组大鼠接受载体治疗,然后不再接受进一步治疗(阴性对照)或 MEN 加 OX 治疗 4 周(药物对照)。然后将接受二甲基肼治疗的大鼠随机分为四组:单用 DMH 组和其他使用 MEN、OX 和(MEN 和 OX)组合治疗 4 周的组。对血清样本进行肿瘤标志物碳水化合物抗原(CA19.9)检测,同时通过免疫测定和 qRT-PCR 评估结肠组织样本中 HIF-1α、caspase-3、PHD3、LDH 和 PD1 的表达水平。此外,还通过免疫组化法检测了 Ki-67 和 Siah2 的表达水平:结果:与单独使用其中一种药物相比,MEN 和 OX 联合用药对结肠癌组织中 HIF-1α、Siah2、LDH、Ki-67 和 PD1 的表达水平有更大的抑制作用,对 Caspase-3 和 PHD3 的表达也有更大的增强作用:结论:MEN 和 OX 联用可同时靶向缺氧和糖酵解途径,是一种抑制结肠癌细胞生长和促进抗肿瘤免疫的有效疗法[1]。
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引用次数: 0
Fatty Acid Synthase (FASN): A Patent Review Since 2016-Present. 脂肪酸合成酶(FASN):自 2016 年至今的专利回顾。
IF 2.8 4区 医学 Q3 ONCOLOGY Pub Date : 2023-01-12 DOI: 10.2174/1574892818666230112170003
Shailendra Singh, Chandrabose Karthikeyan, N S Hari Narayana Moorthy

Introduction: Fatty acid synthase (FASN), is a key metabolic enzyme involved in fatty acid biosynthesis and is an essential target for multiple disease progressions like cancer, obesity, NAFLD, etc. Aberrant expression of FASN is associated with deregulated energy metabolism of cells in these diseases.

Area covered: This article provides a summary of the most recent developments in the discovery of novel FASN inhibitors with potential therapeutic uses in cancer, obesity, and other metabolic disorders such as nonalcoholic fatty liver disease from 2016 to the present. The recently published patent applications and forthcoming clinical data of FASN inhibitors from both academia and the pharma industries are also highlighted in this study.

Expert opinion: The implication of FASN in multiple diseases has provided an impetus for developing novel inhibitors by both pharma companies and academia. Critical analysis of the patent literature reveals the exploration of diverse molecular scaffolds to identify potential FASN inhibitors that target the different catalytic domains of the enzyme. In spite of these multifaceted efforts, only one molecule, TVB-2640, has reached phase II trials for nonalcoholic steatohepatitis (NASH) and many malignancies. However, thecombined efforts of pharma companies to produce several FASN inhibitors might facilitate the clinical translation of this unique class of inhibitors. Nevertheless, concerted efforts towards developing multiple FASN inhibitors by pharma companies might facilitate the clinical translation of this novel class of inhibitors.

导言:脂肪酸合成酶(FASN)是参与脂肪酸生物合成的关键代谢酶,是癌症、肥胖症、非酒精性脂肪肝等多种疾病进展的重要靶点。FASN 的异常表达与这些疾病中细胞的能量代谢失调有关:本文概述了从 2016 年至今,在发现新型 FASN 抑制剂方面的最新进展,这些抑制剂具有治疗癌症、肥胖症和其他代谢性疾病(如非酒精性脂肪肝)的潜在用途。本研究还重点介绍了学术界和制药行业最近公布的 FASN 抑制剂专利申请和即将公布的临床数据:FASN在多种疾病中的作用为制药公司和学术界开发新型抑制剂提供了动力。对专利文献的批判性分析表明,人们探索了多种分子支架,以确定针对该酶不同催化结构域的潜在 FASN 抑制剂。尽管做出了这些多方面的努力,但目前只有 TVB-2640 一种分子进入了治疗非酒精性脂肪性肝炎(NASH)和多种恶性肿瘤的 II 期试验阶段。然而,制药公司为生产多种 FASN 抑制剂所做的共同努力可能会促进这类独特抑制剂的临床转化。尽管如此,制药公司齐心协力开发多种 FASN 抑制剂可能会促进这类新型抑制剂的临床转化。
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引用次数: 0
Puerarin: an Anticancer and Anti-Inflammatory Agent 葛根素:一种抗癌和消炎剂
IF 2.8 4区 医学 Q3 ONCOLOGY Pub Date : 2023-01-11 DOI: 10.2174/1574892818666230111152024
P. Kriplani, Harinder Singh, Sweta Kamboj, Kumar Guarve
Puerarin is a well-known anti-inflammatory agent which has demonstrated its potential to cure numerous ailments. Though many plants are reported in the literature, still their mechanisms are unversed. In this review, numerous mechanisms of puerarin to cure cancer and other inflammatory disorders, pharmacokinetics and adverse events, and boulevards of further research are discussed.Organized research was done using ScienceDirect, PubMed, ResearchGate, Google Scholar, Google Patents and ScienceDirect Medline to quest all the available data to date on puerarin. Different keywords used were “puerarin”, “Pueraria tuberosa”, “cancer”, “anti-inflammatory”, “cardiovascular”, “IBD”, “pharmacokinetics” etc.One hundred thirty-six articles and thirteen patents were studied. Puerarin is reported to treat chronic problems like inflammation, sexual dysfunction, cardiovascular diseases and menaces such as colon, stomach, lung and breast cancer by numerous mechanisms, as these ailments do not progress via a single independent pathway.Conclusion: This article will definitely help budding researchers scrutinize the wealth of information on the therapeutic chattels of puerarin and identify the gaps that have forbidden its application as a potential molecule to cure various ailments.
葛根素是一种众所周知的抗炎剂,它已经证明了它治疗许多疾病的潜力。虽然文献中报道了许多植物,但其作用机制尚不清楚。本文综述了葛根素治疗癌症和其他炎症性疾病的多种机制、药代动力学和不良反应,以及进一步研究的方向。通过ScienceDirect、PubMed、ResearchGate、b谷歌Scholar、谷歌Patents和ScienceDirect Medline进行了有组织的研究,以查询迄今为止有关葛根素的所有可用数据。使用的关键词有“葛根素”、“葛根”、“癌症”、“抗炎”、“心血管”、“IBD”、“药代动力学”等。共研究了136篇论文和13项专利。据报道,葛根素可以通过多种机制治疗慢性疾病,如炎症、性功能障碍、心血管疾病和结肠癌、胃癌、肺癌和乳腺癌等威胁,因为这些疾病不是通过单一的独立途径发展的。结论:这篇文章肯定会帮助崭露头角的研究人员仔细研究葛根素治疗价值的丰富信息,并找出阻碍其作为潜在分子治疗各种疾病的差距。
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引用次数: 0
Advances in the Treatment of Chronic Myeloid Leukemia 慢性髓系白血病的治疗进展
IF 2.8 4区 医学 Q3 ONCOLOGY Pub Date : 2023-01-11 DOI: 10.2174/1574892818666230111115040
R. Mihăilă
The treatment of chronic myeloid leukemia has progressed in recent decades, becoming a model for a disease whose pathogenesis is primarily based on a genetic mutation and has led to survivals comparable to those of the general population.This review aims to present recent therapeutic advances in this area.A mini-review was achieved using the articles published in Web of Science and PubMed between January 2021 - May 2022, and new patents were made in this field.Results: The three generations of tyrosine kinase inhibitors have transformed chronic myeloid leukemia into a manageable disorder and greatly improved the treatment results of the chronic phase, the prognosis, survival, and quality of life of patients. The therapeutic goals today include achieving a deep and lasting molecular response as soon as possible, successful treatment-free remission, and discovering and applying new therapeutic strategies to act on impaired immune modulation and dormant leukemic stem cells. The allosteric inhibitor asciminib targets the ABL myristoyl pocket, reduces Abl kinase activity, and is effective against most cells that have mutations in the ABL1 kinase domain. Progress and recommendations for achieving long-term treatment-free remission are set out. Nearly 50% of the patients who received first-line tyrosine kinase inhibitors required a change of treatment by 10 years due to intolerance or resistance to treatment. Their main side effects are presented.Obtaining a deep and persistent molecular response contributes to achieving long-term treatment-free remission.
近几十年来,慢性粒细胞白血病的治疗取得了进展,成为一种主要基于基因突变的疾病的模型,其存活率与普通人群相当。这篇综述旨在介绍该领域的最新治疗进展。使用2021年1月至2022年5月期间发表在Web of Science和PubMed上的文章进行了一次小型综述,并在该领域获得了新专利。结果:三代酪氨酸激酶抑制剂已将慢性粒细胞白血病转变为可控制的疾病,并大大改善了慢性期的治疗效果、患者的预后、生存率和生活质量。今天的治疗目标包括尽快实现深度和持久的分子反应,成功的无治疗缓解,以及发现和应用新的治疗策略来治疗受损的免疫调节和休眠的白血病干细胞。变构抑制剂ascimib靶向ABL肉豆蔻醇口袋,降低ABL激酶活性,对大多数ABL1激酶结构域发生突变的细胞有效。阐述了实现长期无治疗缓解的进展和建议。在接受一线酪氨酸激酶抑制剂治疗的患者中,近50%的患者由于对治疗的不耐受或耐药性,需要在10年内改变治疗。介绍了它们的主要副作用。获得深度和持久的分子反应有助于实现长期无治疗的缓解。
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引用次数: 0
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