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前列腺癌骨转移:分子机制、靶向诊断与靶向治疗(综述)

Bone metastases of prostate cancer: Molecular mechanisms, targeted diagnosis and targeted therapy (Review).

作者信息

Guo Xutang, Li Shaojun

机构信息

Department of Urology, Gansu Province Maternity and Child Health Hospital, Lanzhou, Gansu 730000, P.R. China.

出版信息

Oncol Rep. 2025 Apr;53(4). doi: 10.3892/or.2025.8879. Epub 2025 Feb 21.

Abstract

Prostate cancer (PCa) is second only to lung cancer in terms of death among men worldwide. Advanced PCa frequently results in bone metastases, which occur in ~90% of patients and frequently result in severe skeleton‑related events. Currently, the treatment for this disease is limited to alleviating its clinical symptoms and cannot provide a complete cure. Therefore, the development of novel treatment strategies is particularly important. In recent years, numerous novel strategies for the diagnosis and treatment of PCa have emerged, resulting in good clinical efficacy. For example, strategies targeting prostate specific membrane antigen, poly ADP‑ribose polymerase and programmed cell death protein 1 have been applied to PCa‑induced bone metastasis, and have shown initial efficacy and great potential. Therefore, understanding the molecular mechanisms underlying the formation of bone metastases in patients with PCa is of importance for the effective management of this disease. The purpose of the present review is to comprehensively outline the roles of protein‑coding genes and non‑coding RNAs in the development of bone metastases of PCa to elucidate their significance in the management of PCa. The aim is to offer clinicians and researchers a comprehensive understanding of this topic.

摘要

前列腺癌(PCa)在全球男性死亡原因中仅次于肺癌。晚期PCa常导致骨转移,约90%的患者会出现骨转移,且常引发严重的骨相关事件。目前,该疾病的治疗仅限于缓解临床症状,无法实现完全治愈。因此,开发新的治疗策略尤为重要。近年来,涌现出众多诊断和治疗PCa的新策略,临床疗效良好。例如,靶向前列腺特异性膜抗原、聚ADP核糖聚合酶和程序性细胞死亡蛋白1的策略已应用于PCa诱导的骨转移,并显示出初步疗效和巨大潜力。因此,了解PCa患者骨转移形成的分子机制对于有效管理该疾病至关重要。本综述的目的是全面概述蛋白质编码基因和非编码RNA在PCa骨转移发展中的作用,以阐明它们在PCa管理中的意义。目的是为临床医生和研究人员提供对该主题的全面理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2922/11865881/5471d8c3bcf7/or-53-04-08879-g00.jpg

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