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靶向治疗肝细胞癌中的整合素。

Targeting integrins in hepatocellular carcinoma.

机构信息

Fudan University, Institute of Genetics, State Key Laboratory of Genetic Engineering, 220 Handan Road, Shanghai, 200433, P. R. China.

出版信息

Expert Opin Ther Targets. 2011 Apr;15(4):421-37. doi: 10.1517/14728222.2011.555402. Epub 2011 Feb 21.

Abstract

INTRODUCTION

Integrins, which are heterodimeric membrane glycoproteins, consist of a family of cell-surface receptors mediating cell-matrix and cell-cell adhesion. Analysis of tumor-associated integrins has revealed an important relationship between integrins and tumor development, bringing new insights into integrin-based cancer therapies. Hepatocellular carcinoma (HCC) is one of the most malignant tumors worldwide and integrins appeal to be a novel group of potential therapeutic targets for HCC.

AREAS COVERED

This review summarizes the current knowledge of integrins involved in HCC and the potential of integrin-targeted drugs in HCC therapy. A brief introduction on the structure, biological function and regulatory mechanism of integrins is given. The distinct expression patterns and biological functions of HCC-associated integrins are described. Finally, the current situation of integrin-based therapies in HCC and other tumor types are extensively discussed in the light of their implications in preclinical and clinical trials.

EXPERT OPINION

To date, increasing numbers of integrin-targeted drugs are undergoing development and they exhibit diverse effects in cancer clinical trials. Tumor heterogeneity should be emphasized in developing effective integrin-targeted drugs specific for HCC. A better understanding of how integrins cooperatively function in HCC will assist in designing more successful integrin-targeted therapeutic drugs and corresponding approaches.

摘要

简介

整合素是异二聚体膜糖蛋白,由介导细胞-基质和细胞-细胞黏附的细胞表面受体家族组成。对肿瘤相关整合素的分析揭示了整合素与肿瘤发展之间的重要关系,为基于整合素的癌症治疗带来了新的见解。肝细胞癌(HCC)是全球最恶性的肿瘤之一,整合素似乎是 HCC 的一组新的潜在治疗靶点。

涵盖领域

本综述总结了参与 HCC 的整合素的最新知识,以及整合素靶向药物在 HCC 治疗中的潜力。简要介绍了整合素的结构、生物学功能和调节机制。描述了 HCC 相关整合素的独特表达模式和生物学功能。最后,根据临床前和临床试验中的意义,广泛讨论了基于整合素的治疗在 HCC 和其他肿瘤类型中的现状。

专家意见

迄今为止,越来越多的整合素靶向药物正在开发中,它们在癌症临床试验中表现出不同的效果。在开发针对 HCC 的特异性有效整合素靶向药物时,应强调肿瘤异质性。更好地了解整合素在 HCC 中如何协同发挥作用,将有助于设计更成功的整合素靶向治疗药物和相应的方法。

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