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[抑制肿瘤诱导血管生成的可能性:多靶点酪氨酸激酶抑制剂的研究结果]

[Possibilities for inhibiting tumor-induced angiogenesis: results with multi-target tyrosine kinase inhibitors].

作者信息

Török Szilvia, Döme Balázs

机构信息

Országos Korányi TBC és Pulmonológiai Intézet, Tumorbiológiai Osztály, Budapest, Hungary.

出版信息

Magy Onkol. 2012 Mar;56(1):3-15. Epub 2012 Jan 3.

Abstract

Functional blood vasculature is essential for tumor progression. The main signalization pathways that play a key role in the survival and growth of tumor vessels originate from the VEGF-, PDGF- and FGF tyrosine kinase receptors. In the past decade, significant results have been published on receptor tyrosine kinase inhibitors (RTKIs). In this paper, the mechanisms of action and the results so far available of experimental and clinical studies on multi-target antiangiogenic TKIs are discussed. On the one hand, notable achievements have been made recently and these drugs are already used in clinical practice in some patient populations. On the other hand, the optimal combination and dosage of these drugs, selection of the apropriate biomarker and better understanding of the conflicting role of PDGFR and FGFR signaling in angiogenesis remain future challenges.

摘要

功能性血管系统对肿瘤进展至关重要。在肿瘤血管的存活和生长中起关键作用的主要信号通路源自VEGF、PDGF和FGF酪氨酸激酶受体。在过去十年中,关于受体酪氨酸激酶抑制剂(RTKIs)已发表了大量研究成果。本文讨论了多靶点抗血管生成酪氨酸激酶抑制剂的作用机制以及目前实验和临床研究的结果。一方面,最近已取得显著成果,这些药物已在一些患者群体中应用于临床实践。另一方面,这些药物的最佳联合使用和剂量、合适生物标志物的选择以及对PDGFR和FGFR信号在血管生成中矛盾作用的更好理解仍然是未来的挑战。

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