Молекулярные механизмы резистентности к терапии моноклональными антителами у больных плоскоклеточным раком языка и слизистой дна полости рта
Автор: Владимирова Л.Ю., Льянова А.А., Франциянц Е.М., Кутилин Д.С., Енгибарян М.А.
Журнал: Злокачественные опухоли @malignanttumors
Статья в выпуске: 4 т.8, 2018 года.
Бесплатный доступ
В обзоре проведен анализ современных данных о молекулярных механизмах резистентности к терапии моноклональными антителами у больных плоскоклеточным раком языка и слизистой дна полости рта. Подробно описаны механизмы резистентности к моноклональным анти-ERBB-антителам и анти-PD1-антителам и пути ее преодоления. Проведенный анализ позволил выделить ряд факторов, которые необходимо учитывать при назначении терапии моноклональными антителами: активацию альтернативных рецептрорных тирозин киназ; повышение экспрессии генов лигандов рецепторов; мутации в эффекторах и самих рецептрорных тирозин-киназах; нарушение образования функциональных димеров рецепторов; изменения в белках и кодирующих их генах, ответственных за регуляцию каскадов апоптоза, митоза, эпителиально-мезенхимального перехода; секрецию противовоспалительных цитокинов и иммуносупрессорных метаболитов.
Плоскоклеточный рак языка и слизистой дна полости рта, моноклональные антитела, резистентность, erbb-рецепторы, мутации, лизосомальная деградация, апоптоз, рецептор pd-1
Короткий адрес: https://sciup.org/140243801
IDR: 140243801 | DOI: 10.18027/2224-5057-2018-8-4-13-25
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