Роль циклина D1 в механизмах резистентности к гормональной терапии тамоксифеном

Автор: Эрдынеева Даяна Батоевна, Бабышкина Наталия Николаевна, Дронова Татьяна Анатольевна, Вторушин Сергей Владимирович, Слонимская Елена Михайловна, Стегний Владимир Николаевич, Чердынцева Надежда Викторовна

Журнал: Сибирский онкологический журнал @siboncoj

Рубрика: Обзоры

Статья в выпуске: 4 т.19, 2020 года.

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Рецептор-позитивные опухоли составляют 65-70 % от всех случаев рака молочной железы (РМЖ). Наличие экспрессии эстрогеновых и прогестероновых рецепторов в качестве молекулярных мишеней опухоли обусловливает назначение гормональной терапии больным с рецептор-позитивным РМЖ. При проведении гормонотерапии препаратом выбора на протяжении последних десятилетий остается тамоксифен, являющийся селективным модулятором эстрогеновых рецепторов. Однако развитие резистентности является одной из основных причин, ограничивающих эффективность данного препарата. В связи с этим активно изучаются механизмы лекарственной устойчивости и ведется поиск прогностических маркеров клинического течения РМЖ и эффективности тамоксифена. Одним из таких молекулярных маркеров является представитель семейства регуляторных белков - циклин D1, которому отводится центральная роль в регуляции клеточного цикла. В обзоре представлены данные о вовлечении циклина D1 в эстроген-зависимый сигнальный каскад, охарактеризован ген CCND1 и его наиболее изученные полиморфные локусы, показана прогностическая значимость циклина D1 при рецептор-позитивном РМЖ. Проанализированы результаты экспериментальных и клинических исследований о взаимосвязи уровня экспрессии циклина D1 с эффективностью тамоксифена, рассмотрены современные подходы к преодолению гормонорезистентности на основе исследований циклина D1.

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Рецептор-позитивный рак молочной железы, циклин d1, тамоксифен, механизмы резистентности

Короткий адрес: https://sciup.org/140254441

IDR: 140254441   |   DOI: 10.21294/1814-4861-2020-19-4-138-145

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