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前列腺癌骨转移的分子机制及靶向治疗(综述)。

Molecular mechanisms and targeted therapy for the metastasis of prostate cancer to the bones (Review).

机构信息

Department of Urology, Yantai Affiliated Hospital of Binzhou Medical University, The Second Clinical Medical College of Binzhou Medical University, Yantai, Shandong 264100, P.R. China.

出版信息

Int J Oncol. 2024 Nov;65(5). doi: 10.3892/ijo.2024.5692. Epub 2024 Sep 20.

Abstract

The incidence of prostate cancer (PCa) is increasing, making it one of the prevalent malignancies among men. Metastasis of PCa to the bones poses the greatest danger to patients, potentially resulting in treatment ineffectiveness and mortality. At present, the management of patients with bone metastasis focuses primarily on providing palliative care. Research has indicated that the spread of PCa to the bones occurs through the participation of numerous molecules and their respective pathways. Gaining knowledge regarding the molecular processes involved in bone metastasis may result in the development of innovative and well‑tolerated therapies, ultimately enhancing the quality of life and prognosis of patients. The present article provides the latest overview of the molecular mechanisms involved in the formation of bone metastatic tumors from PCa. Additionally, the clinical outcomes of targeted drug therapies for bone metastasis are thoroughly analyzed. Finally, the benefits and difficulties of targeted therapy for bone metastasis of PCa are discussed, aiming to offer fresh perspectives for treatment.

摘要

前列腺癌(PCa)的发病率不断上升,使其成为男性中最常见的恶性肿瘤之一。PCa 转移到骨骼对患者构成最大威胁,可能导致治疗无效和死亡。目前,骨转移患者的治疗主要集中在提供姑息治疗上。研究表明,PCa 向骨骼的扩散涉及众多分子及其各自的途径。了解骨转移中涉及的分子过程可能会开发出创新且耐受性良好的治疗方法,最终提高患者的生活质量和预后。本文提供了 PCa 形成骨转移瘤的分子机制的最新概述。此外,还彻底分析了针对骨转移的靶向药物治疗的临床结果。最后,讨论了针对 PCa 骨转移的靶向治疗的益处和困难,旨在为治疗提供新的视角。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c05/11419411/a36f78a5b6c9/ijo-65-05-05692-g00.jpg

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